Mcdougle Personal Care Home Inc

LBN: Mcdougle Personal Care Home Inc
Mcdougle Personal Care Home Inc is an health care organization with primary practice located at 808 Bethune St , Valdosta GA 31601-6202. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mcdougle Personal Care Home Inc can be contacted via phone (229) 300-1389, or through Mcdougle, Cynthia E via phone (229) 269-8880.

Contact Information

Primary practice address
808 Bethune St Valdosta GA 31601-6202
Phone: (229) 300-1389
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdougle, Cynthia E
Phone: (229) 269-8880

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1942654512
LBN Legal business name Mcdougle Personal Care Home Inc
DBA Doing business as
Authorized official Mcdougle, Cynthia E
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2016
Last updated Apr 20th, 2016 - about 8 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 1942654512 NPPES
Georgia MEDICAID 372083530A

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