Miona Geriatric & Dementia Center, Llc

LBN: Miona Geriatric & Dementia Center, Llc
Miona Geriatric & Dementia Center, Llc is an health care organization with primary practice located at 201 Poplar St , Ideal GA 31041-6264. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Miona Geriatric & Dementia Center, Llc can be contacted via phone (478) 949-2270, or through Walker, Cathy via phone (478) 949-2270.

Contact Information

Primary practice address
201 Poplar St Ideal GA 31041-6264
Phone: (478) 949-2270
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Cathy
Phone: (478) 949-2270

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10941944 Georgia

Profile Details

NPI number 1215919709
LBN Legal business name Miona Geriatric & Dementia Center, Llc
DBA Doing business as
Authorized official Walker, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Oct 14th, 2008 - about 18 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 1215919709 NPPES
Georgia MEDICAID 141578A

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