Gracewood Community Services

LBN: Georgia Department Of Human Resources
Gracewood Community Services is an health care organization with primary practice located at 3533 Stafford St , Hephzibah GA 30815-6625. 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
3533 Stafford St Hephzibah GA 30815-6625
Fax:
Website:
Authorized official contact:
Name: Jackson, Gail C Doctor of Medicine (MD)

Profile Details

NPI number 1568530798
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 4th, 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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