Waterloo Group Home

LBN: Dekalb Community Service Board
Waterloo Group Home is an health care organization with primary practice located at 4200 Waterloo Cir , Tucker GA 30084-2237. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Dekalb Community Service Board can be contacted via phone (770) 270-0160, or through Van Der Merwe, Fabio Bruno via phone (404) 294-3836.

Contact Information

Primary practice address
4200 Waterloo Cir Tucker GA 30084-2237
Phone: (770) 270-0160
Fax: (770) 270-0160
Website:
Map and Directions
Authorized official contact:
Name: Van Der Merwe, Fabio Bruno
Phone: (404) 294-3836

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1497890214
LBN Legal business name Dekalb Community Service Board
DBA Doing business as Waterloo Group Home
Authorized official Van Der Merwe, Fabio Bruno
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2007
Last updated Apr 24th, 2020 - about 4 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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