Avita Community Partners
LBN: Georgia Mountains Community Services
Avita Community Partners is an health care organization with primary practice located at 67 Ethan Allen Dr , Dahlonega GA 30533-6616. 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 Tucker, Karen R via phone (678) 513-5733.
Contact Information
Primary practice address
67 Ethan Allen Dr
Dahlonega GA 30533-6616
Phone: (678) 513-5762
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1578626396 |
|---|---|
| LBN Legal business name | Georgia Mountains Community Services |
| DBA Doing business as | Avita Community Partners |
| Authorized official | Tucker, Karen R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jun 25th, 2010 - about 16 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 | 1578626396 | NPPES |
| Georgia | MEDICAID | 000607054AV |
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Georgia Mountains Community Services
67 Ethan Allen Dr , Dahlonega GA 30533-6616