Georgia Community Living Facilities Llc

LBN: Georgia Community Living Facilities Llc
Georgia Community Living Facilities Llc is an health care organization with primary practice located at 500 Lanier Ave W Ste 610 , Fayetteville GA 30214-7644. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Georgia Community Living Facilities Llc can be contacted via phone (404) 829-2715, or through Crockett, Rhonda Ann via phone (404) 829-2715.

Contact Information

Primary practice address
500 Lanier Ave W Ste 610 Fayetteville GA 30214-7644
Phone: (404) 829-2715
Fax: (678) 817-5909
Website:
Map and Directions
Authorized official contact:
Name: Crockett, Rhonda Ann
Phone: (404) 829-2715

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 007876 Georgia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 007874 Georgia
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1730457458
LBN Legal business name Georgia Community Living Facilities Llc
DBA Doing business as
Authorized official Crockett, Rhonda Ann
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2011
Last updated Mar 29th, 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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