<Unavail>
LBN: Clayton Mhddad
<Unavail> is an health care organization with primary practice located at 6278 Holiday Blvd , Forest Park GA 30297-4262. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Clayton Mhddad can be contacted via phone (770) 478-2280, or through Benefield, Jade via phone (770) 478-2280.
Contact Information
Primary practice address
6278 Holiday Blvd
Forest Park GA 30297-4262
Phone: (770) 478-2280
Fax: (770) 477-9772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1427204775 |
|---|---|
| LBN Legal business name | Clayton Mhddad |
| DBA Doing business as | <Unavail> |
| Authorized official | Benefield, Jade |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Aug 18th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427204775 | NPPES |
| Georgia | MEDICAID | 000606922AN |
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