<Unavail>

LBN: Bellview1Cla
<Unavail> is an health care organization with primary practice located at 1552 Fort Morris Rd , Midway GA 31320-6213. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Bellview1Cla can be contacted via phone (912) 884-6899, or through Fuller, Olivia Graham via phone (912) 884-5474.

Contact Information

Primary practice address
1552 Fort Morris Rd Midway GA 31320-6213
Phone: (912) 884-6899
Fax: (912) 884-6898
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Olivia Graham
Phone: (912) 884-5474

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X CLA Georgia

Profile Details

NPI number 1689923203
LBN Legal business name Bellview1Cla
DBA Doing business as <Unavail>
Authorized official Fuller, Olivia Graham
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2012
Last updated Aug 29th, 2012 - about 14 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 1689923203 NPPES
Georgia MEDICAID 519076033B

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