Cedar Grove Rehab Llc

LBN: Cedar Grove Rehab Llc
Cedar Grove Rehab Llc is an health care organization with primary practice located at 3395 Bouldercrest Rd , Ellenwood GA 30294-1639. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Cedar Grove Rehab Llc can be contacted via phone (404) 241-3280, or through Bonner, Otis L via phone (770) 940-4975.

Contact Information

Primary practice address
3395 Bouldercrest Rd Ellenwood GA 30294-1639
Phone: (404) 241-3280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonner, Otis L
Phone: (770) 940-4975

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1255776613
LBN Legal business name Cedar Grove Rehab Llc
DBA Doing business as
Authorized official Bonner, Otis L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2013
Last updated Apr 30th, 2013 - 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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