My Sister'S Place

LBN: The Edna Brooks Foundation, Inc.
My Sister'S Place is an health care organization with primary practice located at 142 E State St , Athens OH 45701-1746. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. The Edna Brooks Foundation, Inc. can be contacted via phone (740) 593-7125, or through Cooke, Kelly via phone (740) 593-7125.

Contact Information

Primary practice address
142 E State St Athens OH 45701-1746
Phone: (740) 593-7125
Fax: (740) 594-7122
Website:
Map and Directions
Authorized official contact:
Name: Cooke, Kelly LISW
Phone: (740) 593-7125

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 0003 Ohio

Profile Details

NPI number 1154357721
LBN Legal business name The Edna Brooks Foundation, Inc.
DBA Doing business as My Sister'S Place
Authorized official Cooke, Kelly LISW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 21st, 2016 - about 8 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 1154357721 NPPES
Ohio MEDICAID 10167

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