Allgood Manor Assistant Home Inc.

LBN: Allgood Manor Assistant Home Inc.
Allgood Manor Assistant Home Inc. is an health care organization with primary practice located at 6358 Deshong Dr , Lithonia GA 30058-6123. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Allgood Manor Assistant Home Inc. can be contacted via phone (678) 526-9201, or through Drummond, Sophia Annmarie via phone (678) 526-9201.

Contact Information

Primary practice address
6358 Deshong Dr Lithonia GA 30058-6123
Phone: (678) 526-9201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drummond, Sophia Annmarie
Phone: (678) 526-9201

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 044-01-594-1 Georgia

Profile Details

NPI number 1720318843
LBN Legal business name Allgood Manor Assistant Home Inc.
DBA Doing business as
Authorized official Drummond, Sophia Annmarie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2010
Last updated Jan 12th, 2010 - about 16 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 1720318843 NPPES
Georgia Other 129286824A MEDICAID PROVIDER NUMBER

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