Dillard Charter Academy

LBN: Dillard Academy
Dillard Charter Academy is an health care organization with primary practice located at 8014 Cumming Hwy Suite 403302, Canton GA 30115-9339. The organization recently has 4 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Case Management, Agencies / Voluntary or Charitable, Agencies / Early Intervention Provider Agency. Agencies / Local Education Agency (LEA) is the primary health care specialty. Dillard Academy can be contacted via phone (404) 806-0434, or through Baker, Jeff via phone (404) 806-0434.

Contact Information

Primary practice address
8014 Cumming Hwy Suite 403302 Canton GA 30115-9339
Fax:
Website:
Authorized official contact:
Name: Baker, Jeff SC.D

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X 96C North Carolina
Agencies / Local Education Agency (LEA) 251300000X 8600110 North Carolina
Agencies / Case Management 251B00000X 8600110 North Carolina
Agencies / Voluntary or Charitable 251V00000X 8600110 North Carolina
Agencies / Early Intervention Provider Agency 252Y00000X 8600110 North Carolina

Profile Details

NPI number 1356762207
LBN Legal business name Dillard Academy
DBA Doing business as Dillard Charter Academy
Authorized official Baker, Jeff SC.D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2013
Last updated Dec 19th, 2013 - about 11 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 1356762207 NPPES
North Carolina MEDICAID 8600110

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