Impact Life Healthcare, Llc

LBN: Impact Life Healthcare, Llc
Impact Life Healthcare, Llc is an health care organization with primary practice located at 3203 Maury St , Richmond City VA 23224. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Impact Life Healthcare, Llc can be contacted via phone (804) 833-6052, or through Johnson, Olufunmi Lola via phone (240) 467-1127.

Contact Information

Primary practice address
3203 Maury St Richmond City VA 23224
Phone: (804) 833-6052
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Olufunmi Lola
Phone: (240) 467-1127

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1114768363
LBN Legal business name Impact Life Healthcare, Llc
DBA Doing business as
Authorized official Johnson, Olufunmi Lola
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2024
Last updated Jun 3rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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