Moon River, Llc
LBN: Moon River, Llc
Moon River, Llc is an health care organization with primary practice located at 790 Oak Trail Dr , Marietta GA 30062-7502. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty.
Moon River, Llc can be contacted via phone (770) 977-6866, or through Smith, Maria Teresa via phone (770) 977-6866.
Contact Information
Primary practice address
790 Oak Trail Dr
Marietta GA 30062-7502
Phone: (770) 977-6866
Fax: (770) 977-6887
Website:
Health care specialties
Profile Details
| NPI number | 1730143553 |
|---|---|
| LBN Legal business name | Moon River, Llc |
| DBA Doing business as | |
| Authorized official | Smith, Maria Teresa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730143553 | NPPES |
| Georgia | MEDICAID | 191707573A | |
| Georgia | MEDICAID | 240960806A | |
| Georgia | MEDICAID | 516643175A | |
| Georgia | MEDICAID | 761415888A | |
| Georgia | MEDICAID | 814363142A | |
| Georgia | MEDICAID | 000860736B | |
| Georgia | MEDICAID | 146855825A | |
| Georgia | MEDICAID | 765677599A | |
| Georgia | MEDICAID | 188883028B | |
| Georgia | MEDICAID | 317872221A | |
| Georgia | MEDICAID | 339518223A | |
| Georgia | MEDICAID | 426315361A | |
| Georgia | MEDICAID | 986209149B | |
| Georgia | MEDICAID | 000970835A | |
| Georgia | MEDICAID | 481436178B | |
| Georgia | MEDICAID | 503885675B | |
| Georgia | MEDICAID | 850524466A | |
| Georgia | MEDICAID | 315889908A | |
| Georgia | MEDICAID | 000753563E | |
| Georgia | MEDICAID | 461168837A |
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