Panola Care, Cla

LBN: Panola Care, Cla
Panola Care, Cla is an health care organization with primary practice located at 3169 Pequea Dr , Lithonia GA 30038-1119. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Panola Care, Cla can be contacted via phone (770) 322-6810, or through Tavares, Carol A via phone (770) 322-6810.

Contact Information

Primary practice address
3169 Pequea Dr Lithonia GA 30038-1119
Phone: (770) 322-6810
Fax: (770) 322-6810
Website:
Map and Directions
Authorized official contact:
Name: Tavares, Carol A
Phone: (770) 322-6810

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X

Profile Details

NPI number 1134564131
LBN Legal business name Panola Care, Cla
DBA Doing business as
Authorized official Tavares, Carol A
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2013
Last updated May 3rd, 2013 - about 12 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.

Request for update

Popular Providers