Petlin Diversified Services Llc

LBN: Petlin Diversified Services Llc
Petlin Diversified Services Llc is an health care organization with primary practice located at 2817 Lost Lakes Way , Powder Springs GA 30127-6018. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Petlin Diversified Services Llc can be contacted via phone (770) 595-8934, or through Mbah, Linda Angela via phone (770) 595-8934.

Contact Information

Primary practice address
2817 Lost Lakes Way Powder Springs GA 30127-6018
Phone: (770) 595-8934
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mbah, Linda Angela Nurse Practitioner (NP)
Phone: (770) 595-8934

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X RN155427NP Georgia

Profile Details

NPI number 1801056791
LBN Legal business name Petlin Diversified Services Llc
DBA Doing business as
Authorized official Mbah, Linda Angela Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2008
Last updated Jun 13th, 2008 - about 17 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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