Avita Community Partners

LBN: Georgia Mountains Community Services
Avita Community Partners is an health care organization with primary practice located at 1143 Racetrack Rd , Eastanollee GA 30538-2928. 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 Mountains Community Services can be contacted via phone (678) 513-5762, or through Jones, Loretta via phone (678) 513-5762.

Contact Information

Primary practice address
1143 Racetrack Rd Eastanollee GA 30538-2928
Phone: (678) 513-5762
Fax: (678) 513-5831
Website:
Map and Directions
Authorized official contact:
Name: Jones, Loretta
Phone: (678) 513-5762

Health care specialties

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

Profile Details

NPI number 1295275873
LBN Legal business name Georgia Mountains Community Services
DBA Doing business as Avita Community Partners
Authorized official Jones, Loretta
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 2nd, 2017
Last updated May 2nd, 2017 - about 9 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 1295275873 NPPES
Georgia MEDICAID 000600795AK

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