Magnolia Gardens Pch, Inc
LBN: Magnolia Gardens Pch, Inc
Magnolia Gardens Pch, Inc is an health care organization with primary practice located at 5348 Kelleys Creek Dr , Stone Mountain GA 30088-3827. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Magnolia Gardens Pch, Inc can be contacted via phone (770) 469-8925, or through Cargill, Teri D. via phone (678) 697-0575.
Contact Information
Primary practice address
5348 Kelleys Creek Dr
Stone Mountain GA 30088-3827
Phone: (770) 469-8925
Fax: (770) 469-8925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1912138454 |
|---|---|
| LBN Legal business name | Magnolia Gardens Pch, Inc |
| DBA Doing business as | |
| Authorized official | Cargill, Teri D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2009 |
| Last updated | Mar 12th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912138454 | NPPES |
| Georgia | MEDICAID | 256949895B |
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