363L00000X

LBN: 363L00000X
363L00000X is an health care organization with primary practice located at 2171 Peachtree Rd Ne Apt 306, Atlanta GA 30309-6300. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. 363L00000X can be contacted via phone (678) 464-9424, or through Peterson, Anetha Deborah via phone (678) 464-9424.

Contact Information

Primary practice address
2171 Peachtree Rd Ne Apt 306 Atlanta GA 30309-6300
Phone: (678) 464-9424
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Anetha Deborah
Phone: (678) 464-9424

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 363L00000X Georgia

Profile Details

NPI number 1760856645
LBN Legal business name 363L00000X
DBA Doing business as
Authorized official Peterson, Anetha Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2015
Last updated Nov 16th, 2015 - about 10 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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