East Georgia Pch

LBN: East Georgia Pch
East Georgia Pch is an health care organization with primary practice located at 1371 Peachtree Ave W , Woodville GA 30669-1713. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. East Georgia Pch can be contacted via phone (706) 486-2639, or through Butler, Glenn via phone (706) 389-6789.

Contact Information

Primary practice address
1371 Peachtree Ave W Woodville GA 30669-1713
Phone: (706) 486-2639
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Butler, Glenn
Phone: (706) 389-6789

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1659641991
LBN Legal business name East Georgia Pch
DBA Doing business as
Authorized official Butler, Glenn
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 4th, 2012
Last updated Jan 4th, 2012 - about 13 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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