Libra 85

LBN: Libra 85
Libra 85 is an health care organization with primary practice located at 624 S Atlantic Ave , Daytona Beach FL 32118-4510. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Libra 85 can be contacted via phone (386) 315-0899, or through Dygdon, Jacek via phone (386) 315-0899.

Contact Information

Primary practice address
624 S Atlantic Ave Daytona Beach FL 32118-4510
Phone: (386) 315-0899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dygdon, Jacek
Phone: (386) 315-0899

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X AL5675 Florida

Profile Details

NPI number 1124443346
LBN Legal business name Libra 85
DBA Doing business as
Authorized official Dygdon, Jacek
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2014
Last updated Feb 25th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124443346 NPPES
Florida MEDICAID 004518600

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