Mcdougle Personal Care Home Inc
LBN: Grace Healthcare Services Inc
Mcdougle Personal Care Home Inc is an health care organization with primary practice located at 1010 Slater Street , Valdosta GA 31601. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Grace Healthcare Services Inc can be contacted via phone (229) 469-4052, or through Mcdougle, Cynthia E via phone (229) 269-8880.
Contact Information
Primary practice address
1010 Slater Street
Valdosta GA 31601
Phone: (229) 469-4052
Fax: (229) 588-4039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | 372083530A | Georgia |
Profile Details
| NPI number | 1902121809 |
|---|---|
| LBN Legal business name | Grace Healthcare Services Inc |
| DBA Doing business as | Mcdougle Personal Care Home Inc |
| Authorized official | Mcdougle, Cynthia E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 2nd, 2010 |
| Last updated | Jan 10th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902121809 | NPPES |
| Georgia | Other | 372083530A | PROVIDER ID NUMBER |
| Georgia | Other | 092-01-106-1 | PROVIDER ID NUMBER |
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