Jimmy'S Magnolia Tree Inc

LBN: Jimmy'S Magnolia Tree Inc
Jimmy'S Magnolia Tree Inc is an health care organization with primary practice located at 1526 Westwood Ave Sw , Atlanta GA 30310-2316. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Jimmy'S Magnolia Tree Inc can be contacted via phone (404) 748-9276, or through Trotter, Jan N via phone (404) 748-9276.

Contact Information

Primary practice address
1526 Westwood Ave Sw Atlanta GA 30310-2316
Phone: (404) 748-9276
Fax: (404) 941-7929
Website:
Map and Directions
Authorized official contact:
Name: Trotter, Jan N
Phone: (404) 748-9276

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X CLA001050 Georgia

Profile Details

NPI number 1699101147
LBN Legal business name Jimmy'S Magnolia Tree Inc
DBA Doing business as
Authorized official Trotter, Jan N
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2013
Last updated Sep 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699101147 NPPES
Georgia Other 972175212A COMP WAVIER

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