Great Start Development Center, Llc

LBN: Great Start Development Center, Llc
Great Start Development Center, Llc is an health care organization with primary practice located at 975 Cobb Place Blvd Nw Ste 101 , Kennesaw GA 30144-6848. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Great Start Development Center, Llc can be contacted via phone (770) 713-6486, or through Gray Miller, Samantha via phone (770) 713-6486.

Contact Information

Primary practice address
975 Cobb Place Blvd Nw Ste 101 Kennesaw GA 30144-6848
Phone: (770) 713-6486
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray Miller, Samantha
Phone: (770) 713-6486

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1356818017
LBN Legal business name Great Start Development Center, Llc
DBA Doing business as
Authorized official Gray Miller, Samantha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2018
Last updated Oct 30th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356818017 NPPES
Other 252Y00000X PROVIDER FOR BABIES CAN'T WAIT

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