Peaceful River Residential Services
LBN: Peaceful River Residential Services
Peaceful River Residential Services is an health care organization with primary practice located at 746 Rudgate Rd , Columbus GA 31904-2929. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Peaceful River Residential Services can be contacted via phone (706) 571-8859, or through Williams, Pamela S via phone (706) 681-4211.
Contact Information
Primary practice address
746 Rudgate Rd
Columbus GA 31904-2929
Phone: (706) 571-8859
Fax: (706) 243-6357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | CLA001207 | Georgia |
Profile Details
| NPI number | 1093175283 |
|---|---|
| LBN Legal business name | Peaceful River Residential Services |
| DBA Doing business as | |
| Authorized official | Williams, Pamela S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2016 |
| Last updated | Mar 1st, 2016 - about 9 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 | 1093175283 | NPPES |
| Georgia | MEDICAID | 003136088A |
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