Autumn View Outreach And Development

LBN: Autumn View Outreach And Development
Autumn View Outreach And Development is an health care organization with primary practice located at 400 Legg Dr , Gulfport MS 39503-3352. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Adult Day Care. Agencies / Home Health is the primary health care specialty. Autumn View Outreach And Development can be contacted via phone (228) 547-4424, or through Green, Kwantrell via phone (228) 547-4424.

Contact Information

Primary practice address
400 Legg Dr Gulfport MS 39503-3352
Fax:
Website:
Authorized official contact:
Name: Green, Kwantrell

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 01541356 Mississippi
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 03873054 Mississippi

Profile Details

NPI number 1497170260
LBN Legal business name Autumn View Outreach And Development
DBA Doing business as
Authorized official Green, Kwantrell
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2014
Last updated Mar 3rd, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497170260 NPPES
Mississippi MEDICAID 03873054
Mississippi MEDICAID 01541356

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