DESTINED CARE LLC NPI 1700216538

NPI Information

NPI: 1700216538
Provider Name: DESTINED CARE LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
3407 WILSHIRE BLVD APT 201
WILMINGTON, NC
ZIP 28403
Phone: (843) 810-6555
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DESTINED CARE LLC is a massage therapist in Wilmington, NC. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. DESTINED CARE LLC NPI is 1700216538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3407 WILSHIRE BLVD APT 201
WILMINGTON, NC
ZIP 28403-278
Phone: (843) 810-6555

The provider's authorized official is Shufarrel Hicks .
The authorized official title is Owner and has the following contact phone number (843) 810-6555.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 11/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		7675	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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