The Olivia Center For Developmental Disabilities, Llc

LBN: The Olivia Center For Developmental Disabilities, Llc
The Olivia Center For Developmental Disabilities, Llc is an health care organization with primary practice located at 11050 Crabapple Rd Suite C-109, Roswell GA 30075-2489. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. The Olivia Center For Developmental Disabilities, Llc can be contacted via phone (770) 899-5311, or through Williams, Tara Kelly via phone (770) 899-5311.

Contact Information

Primary practice address
11050 Crabapple Rd Suite C-109 Roswell GA 30075-2489
Fax:
Website:
Authorized official contact:
Name: Williams, Tara Kelly

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Georgia
Agencies / Community/Behavioral Health 251S00000X Georgia

Profile Details

NPI number 1275828865
LBN Legal business name The Olivia Center For Developmental Disabilities, Llc
DBA Doing business as
Authorized official Williams, Tara Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2011
Last updated Jun 13th, 2011 - about 13 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 1275828865 NPPES
Georgia MEDICAID 662980423A
Georgia MEDICAID 662980423B

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