Willie Colquitt Host Home

LBN: Willie Colquitt Host Home
Willie Colquitt Host Home is an health care organization with primary practice located at 1007 Mary St , Waycross GA 31503-3823. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Willie Colquitt Host Home can be contacted via phone (912) 449-7109, or through Simpson, Michelle via phone (912) 449-7109.

Contact Information

Primary practice address
1007 Mary St Waycross GA 31503-3823
Phone: (912) 449-7109
Fax: (912) 449-7056
Website:
Map and Directions
Authorized official contact:
Name: Simpson, Michelle
Phone: (912) 449-7109

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Georgia

Profile Details

NPI number 1780126185
LBN Legal business name Willie Colquitt Host Home
DBA Doing business as
Authorized official Simpson, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2016
Last updated Nov 16th, 2016 - about 9 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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