Gracewood Community Services

LBN: Georgia Department Of Human Resources
Gracewood Community Services is an health care organization with primary practice located at 2311 Mura Dr , Augusta GA 30906-4819. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Georgia Department Of Human Resources can be contacted via phone (706) 790-2034, or through Jackson, Gail C via phone (706) 790-2030.

Contact Information

Primary practice address
2311 Mura Dr Augusta GA 30906-4819
Phone: (706) 790-2034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Gail C Doctor of Medicine (MD)
Phone: (706) 790-2030

Health care specialties

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

Profile Details

NPI number 1366510067
LBN Legal business name Georgia Department Of Human Resources
DBA Doing business as Gracewood Community Services
Authorized official Jackson, Gail C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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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