HEALING HANDS OF SUWANNEE COUNTY, LLC
Managed Care Organizations at 11 St, Dowling Park, FL

License number
Florida MA 52983
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MRS. HOLLI JANE LATREILLE MA 52983
Title: LICENSED MASSAGE THERAPIST
Phone: (386) 362-7727
Address
Address
405 11Th St SW SUITE A 101-A, Dowling Park, FL 32064
National Provider ID: 1194981654
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Healing Hands of Suwannee County, LLC

405 11 St SW, Dowling Park, FL 32064

Doing business as:
Healing Hands of Suwannee County
Registration:
May 28, 2008
Phone:
(386) 362-7727 (Phone)
State ID:
L08000052649
Business type:
Florida Limited Liability Company
Managing Members:
Holli J. Latreille (Managing Member, Licensed Massage Therapist, Lmt Ma52983, Principal),Holli Jane Latreille Lmt,Theresa Fowler Managing Member, inactive,...
Agent:
Holli Latreille,12918 158 Ter, Mc Alpin, FL 32062 (Physical)
EIN:
36-4633873

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