Empowerment Of Divine Providence, Inc.

LBN: Empowerment Of Divine Providence, Inc.
Empowerment Of Divine Providence, Inc. is an health care organization with primary practice located at 3 Birchfield Way , Dallas GA 30132-0842. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Empowerment Of Divine Providence, Inc. can be contacted via phone (404) 285-8415, or through Liu, Clorissal via phone (404) 285-8415.

Contact Information

Primary practice address
3 Birchfield Way Dallas GA 30132-0842
Phone: (404) 285-8415
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liu, Clorissal
Phone: (404) 285-8415

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X Georgia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X CN0030003852 Georgia

Profile Details

NPI number 1295017382
LBN Legal business name Empowerment Of Divine Providence, Inc.
DBA Doing business as
Authorized official Liu, Clorissal
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2011
Last updated Oct 31st, 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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