Hattie Clay Oliver Pch

LBN: Hattie Clay Oliver Pch
Hattie Clay Oliver Pch is an health care organization with primary practice located at 418 Vinings Vintage Cir , Mableton GA 30126-7208. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Hattie Clay Oliver Pch can be contacted via phone (770) 575-0582, or through Ford, James C via phone (770) 575-0582.

Contact Information

Primary practice address
418 Vinings Vintage Cir Mableton GA 30126-7208
Phone: (770) 575-0582
Fax: (404) 756-4894
Website:
Map and Directions
Authorized official contact:
Name: Ford, James C
Phone: (770) 575-0582

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X PCH005570 Georgia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X PCH005570 Georgia

Profile Details

NPI number 1104194307
LBN Legal business name Hattie Clay Oliver Pch
DBA Doing business as
Authorized official Ford, James C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2011
Last updated Dec 6th, 2011 - about 14 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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