Exquisite Traditions

LBN: Exquisite Traditions
Exquisite Traditions is an health care organization with primary practice located at 7265 Mount Zion Blvd , Jonesboro GA 30236-2519. The organization recently has 2 registered licenses in different health care specialties including 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. Exquisite Traditions can be contacted via phone (404) 525-9500, or through Ballif, Kyle via phone (404) 525-9500.

Contact Information

Primary practice address
7265 Mount Zion Blvd Jonesboro GA 30236-2519
Phone: (404) 525-9500
Fax: (404) 393-9436
Website:
Map and Directions
Authorized official contact:
Name: Ballif, Kyle
Phone: (404) 525-9500

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X PCH001261 Georgia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X PCH001261 Georgia

Profile Details

NPI number 1558657494
LBN Legal business name Exquisite Traditions
DBA Doing business as
Authorized official Ballif, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2011
Last updated Jun 20th, 2011 - 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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