Avita Community Partners

LBN: Georgia Mountain Community Partners
Avita Community Partners is an health care organization with primary practice located at 2059 Garden Rd , Gainesville GA 30507-5019. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Georgia Mountain Community Partners can be contacted via phone (678) 513-5720, or through Thompson, Tammy Weynette via phone (678) 513-5720.

Contact Information

Primary practice address
2059 Garden Rd Gainesville GA 30507-5019
Phone: (678) 513-5720
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Tammy Weynette
Phone: (678) 513-5720

Health care specialties

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

Profile Details

NPI number 1619213626
LBN Legal business name Georgia Mountain Community Partners
DBA Doing business as Avita Community Partners
Authorized official Thompson, Tammy Weynette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 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 1619213626 NPPES
Georgia Other 000607054CC PROVIDER NUMBER

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