Gerdie And Louise Pch

LBN: Gerdie And Louise Pch
Gerdie And Louise Pch is an health care organization with primary practice located at 104 Robbins St , Sylvania GA 30467-2532. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Gerdie And Louise Pch can be contacted via phone (912) 515-5030, or through Lewis, Jusitne Taylor via phone (912) 515-5030.

Contact Information

Primary practice address
104 Robbins St Sylvania GA 30467-2532
Phone: (912) 515-5030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Jusitne Taylor
Phone: (912) 515-5030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 121010101 Georgia

Profile Details

NPI number 1821388133
LBN Legal business name Gerdie And Louise Pch
DBA Doing business as
Authorized official Lewis, Jusitne Taylor
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2011
Last updated Apr 8th, 2011 - about 15 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 1821388133 NPPES
Georgia MEDICAID 996863388A

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