Dd Respite

LBN: Lookout Mountain Community Service
Dd Respite is an health care organization with primary practice located at 1427 Lee Clarkson Rd , Chickamauga GA 30707-3344. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lookout Mountain Community Service can be contacted via phone (706) 638-5580, or through Ford, Tom via phone (706) 638-5580.

Contact Information

Primary practice address
1427 Lee Clarkson Rd Chickamauga GA 30707-3344
Phone: (706) 638-5580
Fax: (706) 638-5445
Website:
Map and Directions
Authorized official contact:
Name: Ford, Tom
Phone: (706) 638-5580

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1568792216
LBN Legal business name Lookout Mountain Community Service
DBA Doing business as Dd Respite
Authorized official Ford, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Dec 31st, 2009 - about 17 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 1568792216 NPPES
Georgia MEDICAID 000604513DD

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