Irie'S Community Development Center, Inc
LBN: Irie'S Community Development Center, Inc
Irie'S Community Development Center, Inc is an health care organization with primary practice located at 112 Mall Rd , Dublin GA 31021-3035. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Irie'S Community Development Center, Inc can be contacted via phone (404) 835-3215, or through Towns, Judy J via phone (478) 353-8500.
Contact Information
Primary practice address
112 Mall Rd
Dublin GA 31021-3035
Phone: (404) 835-3215
Fax: (404) 835-3217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1487961942 |
|---|---|
| LBN Legal business name | Irie'S Community Development Center, Inc |
| DBA Doing business as | |
| Authorized official | Towns, Judy J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2010 |
| Last updated | Mar 21st, 2019 - about 7 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 | 1487961942 | NPPES |
| Georgia | MEDICAID | 003143622A | |
| Georgia | MEDICAID | 003204906A | |
| Georgia | MEDICAID | 003140721A | |
| Georgia | MEDICAID | 003204906B |
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