Mental Retardation Wavier Program

LBN: Mental Retardation Wavier Program
Mental Retardation Wavier Program is an health care organization with primary practice located at 2100 Comer Ave , Columbus GA 31904-8725. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Mental Retardation Wavier Program can be contacted via phone (706) 596-5583, or through Alexander, Perry via phone (706) 596-5582.

Contact Information

Primary practice address
2100 Comer Ave Columbus GA 31904-8725
Phone: (706) 596-5583
Fax: (706) 596-5589
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Perry
Phone: (706) 596-5582

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1477748531
LBN Legal business name Mental Retardation Wavier Program
DBA Doing business as
Authorized official Alexander, Perry
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 19 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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