<Unavail>

LBN: Lifequest Kennesaw, Llc
<Unavail> is an health care organization with primary practice located at 3362 Acworth Summit Blvd Nw , Acworth GA 30101-5770. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Lifequest Kennesaw, Llc can be contacted via phone (678) 973-0635, or through Broussard, James via phone (678) 973-0635.

Contact Information

Primary practice address
3362 Acworth Summit Blvd Nw Acworth GA 30101-5770
Phone: (678) 973-0635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broussard, James
Phone: (678) 973-0635

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 33753 Georgia

Profile Details

NPI number 1992111280
LBN Legal business name Lifequest Kennesaw, Llc
DBA Doing business as <Unavail>
Authorized official Broussard, James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2014
Last updated Sep 12th, 2014 - about 12 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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