Mount Eagle Wings Personal Care Home, Inc

LBN: Mount Eagle Wings Personal Care Home, Inc
Mount Eagle Wings Personal Care Home, Inc is an health care organization with primary practice located at 4027 Prescott Dr , Martinez GA 30907-4308. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Mount Eagle Wings Personal Care Home, Inc can be contacted via phone (706) 284-9959, or through Reese, Venna via phone (706) 284-9959.

Contact Information

Primary practice address
4027 Prescott Dr Martinez GA 30907-4308
Phone: (706) 284-9959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reese, Venna
Phone: (706) 284-9959

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1619204906
LBN Legal business name Mount Eagle Wings Personal Care Home, Inc
DBA Doing business as
Authorized official Reese, Venna
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2009
Last updated Nov 8th, 2009 - about 15 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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