Habersham Retreat, Inc

LBN: Habersham Retreat, Inc
Habersham Retreat, Inc is an health care organization with primary practice located at 258 Park Ave , Baldwin GA 30511-2329. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Habersham Retreat, Inc can be contacted via phone (706) 778-1749, or through Moore, Brad L via phone (706) 778-1749.

Contact Information

Primary practice address
258 Park Ave Baldwin GA 30511-2329
Phone: (706) 778-1749
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Brad L
Phone: (706) 778-1749

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1306990452
LBN Legal business name Habersham Retreat, Inc
DBA Doing business as
Authorized official Moore, Brad L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Nov 14th, 2017 - 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 1306990452 NPPES
Georgia MEDICAID 00316346F
Georgia MEDICAID 00316346B
Georgia MEDICAID 00316346D
Georgia MEDICAID 00316346C
Georgia MEDICAID 00316346A
Georgia MEDICAID 00316346E

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