Charles Hall Host Home

LBN: Charles Hall Host Home
Charles Hall Host Home is an health care organization with primary practice located at 1107 Carswell Ave , Waycross GA 31503-4854. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Charles Hall Host Home can be contacted via phone (912) 449-7109, or through Simpson, Laura Michelle via phone (912) 449-7109.

Contact Information

Primary practice address
1107 Carswell Ave Waycross GA 31503-4854
Phone: (912) 449-7109
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simpson, Laura Michelle
Phone: (912) 449-7109

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1346731833
LBN Legal business name Charles Hall Host Home
DBA Doing business as
Authorized official Simpson, Laura Michelle
Entity Organization
Organization subpart 1 Yes
Enumeration date May 21st, 2018
Last updated May 21st, 2018 - about 7 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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