Patron Place Llc

LBN: Patron Place Llc
Patron Place Llc is an health care organization with primary practice located at 1227 Rockbridge Rd Ste 208-196 , Stone Mountain GA 30087-3064. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Patron Place Llc can be contacted via phone (770) 573-1076, or through Gordon, Rondine via phone (770) 573-1076.

Contact Information

Primary practice address
1227 Rockbridge Rd Ste 208-196 Stone Mountain GA 30087-3064
Phone: (770) 573-1076
Fax: (770) 234-5894
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Rondine
Phone: (770) 573-1076

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X PCH006520 Georgia
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X PCH006520 Georgia
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X PCH006520 Georgia

Profile Details

NPI number 1457623308
LBN Legal business name Patron Place Llc
DBA Doing business as
Authorized official Gordon, Rondine
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2012
Last updated Feb 7th, 2012 - 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