Scg Durant Four Seasons, Llc

LBN: Scg Durant Four Seasons, Llc
Scg Durant Four Seasons, Llc is an health care organization with primary practice located at 16 Norcross St Suite 100, Roswell GA 30075-3810. 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. Scg Durant Four Seasons, Llc can be contacted via phone (770) 255-1810, or through Kramer, Mark D via phone (813) 341-2700.

Contact Information

Primary practice address
16 Norcross St Suite 100 Roswell GA 30075-3810
Phone: (770) 255-1810
Fax: (770) 255-0059
Website:
Map and Directions
Authorized official contact:
Name: Kramer, Mark D
Phone: (813) 341-2700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH 0704 Oklahoma

Profile Details

NPI number 1477648442
LBN Legal business name Scg Durant Four Seasons, Llc
DBA Doing business as
Authorized official Kramer, Mark D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477648442 NPPES
Oklahoma MEDICAID 100769540A
Oklahoma Other 1215926928

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