Little Debbie'S Second Chance Home, Inc.

LBN: Little Debbie'S Second Chance Home, Inc.
Little Debbie'S Second Chance Home, Inc. is an health care organization with primary practice located at 3900 Leprechaun Ct , Decatur GA 30034-2168. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Little Debbie'S Second Chance Home, Inc. can be contacted via phone (770) 912-3742, or through Stiggers, Lakisha Shavon via phone (770) 912-3742.

Contact Information

Primary practice address
3900 Leprechaun Ct Decatur GA 30034-2168
Phone: (770) 912-3742
Fax: (404) 288-0671
Website:
Map and Directions
Authorized official contact:
Name: Stiggers, Lakisha Shavon
Phone: (770) 912-3742

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Georgia
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X CC1001625 Georgia

Profile Details

NPI number 1487792396
LBN Legal business name Little Debbie'S Second Chance Home, Inc.
DBA Doing business as
Authorized official Stiggers, Lakisha Shavon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Apr 20th, 2011 - about 13 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 1487792396 NPPES
Georgia MEDICAID 585299164A

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