Angus Lake Healthcare, Llc

LBN: Angus Lake Healthcare, Llc
Angus Lake Healthcare, Llc is an health care organization with primary practice located at 242 Milledgeville Hwy , Gordon GA 31031-3827. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Angus Lake Healthcare, Llc can be contacted via phone (229) 520-5151, or through Stanley, Carl Lake via phone (229) 520-5151.

Contact Information

Primary practice address
242 Milledgeville Hwy Gordon GA 31031-3827
Phone: (229) 520-5151
Fax: (478) 628-2263
Website:
Map and Directions
Authorized official contact:
Name: Stanley, Carl Lake RPH
Phone: (229) 520-5151

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE009911 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE009911 Georgia

Profile Details

NPI number 1912340829
LBN Legal business name Angus Lake Healthcare, Llc
DBA Doing business as
Authorized official Stanley, Carl Lake RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated May 4th, 2017 - about 7 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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