Shallowford Group Home

LBN: Shallowford Group Home
Shallowford Group Home is an health care organization with primary practice located at 2473 Shallowford Rd Ne , Atlanta GA 30345-1363. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Shallowford Group Home can be contacted via phone (404) 636-0955, or through Van Der Merwe, Fabio Bruno via phone (404) 294-3836.

Contact Information

Primary practice address
2473 Shallowford Rd Ne Atlanta GA 30345-1363
Phone: (404) 636-0955
Fax: (404) 636-0955
Website:
Map and Directions
Authorized official contact:
Name: Van Der Merwe, Fabio Bruno
Phone: (404) 294-3836

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1306981113
LBN Legal business name Shallowford Group Home
DBA Doing business as Shallowford Group Home
Authorized official Van Der Merwe, Fabio Bruno
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2007
Last updated Apr 22nd, 2020 - about 6 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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