Willie B Gardner Assisted Living Inc.

LBN: Willie B Gardner Assisted Living Inc.
Willie B Gardner Assisted Living Inc. is an health care organization with primary practice located at 1262 King Rd , Riverdale GA 30296-2952. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Willie B Gardner Assisted Living Inc. can be contacted via phone (678) 789-5174, or through Dudley, Shaurina S. via phone (678) 663-9674.

Contact Information

Primary practice address
1262 King Rd Riverdale GA 30296-2952
Phone: (678) 789-5174
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dudley, Shaurina S.
Phone: (678) 663-9674

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1710683396
LBN Legal business name Willie B Gardner Assisted Living Inc.
DBA Doing business as
Authorized official Dudley, Shaurina S.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about last year

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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