<Unavail>

LBN: Jd Wallace Enterprises
<Unavail> is an health care organization with primary practice located at 4286 Memorial Dr Ste C Suite B, Decatur GA 30032-1221. 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. Jd Wallace Enterprises can be contacted via phone (404) 499-0342, or through Wallace, John David via phone (323) 558-2797.

Contact Information

Primary practice address
4286 Memorial Dr Ste C Suite B Decatur GA 30032-1221
Phone: (404) 499-0342
Fax: (678) 928-9427
Website:
Map and Directions
Authorized official contact:
Name: Wallace, John David
Phone: (323) 558-2797

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1346552478
LBN Legal business name Jd Wallace Enterprises
DBA Doing business as <Unavail>
Authorized official Wallace, John David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2010
Last updated Jul 25th, 2013 - about 13 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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