<Unavail>

LBN: Montezuma Health Care Center Llc
<Unavail> is an health care organization with primary practice located at 506 Sumter St , Montezuma GA 31063-1734. The organization recently has only one registered license in Respite Care Facility / Respite Care, which is considered as the primary health care specialty. Montezuma Health Care Center Llc can be contacted via phone (478) 472-8168, or through Crisp, Jackie via phone (478) 472-8168.

Contact Information

Primary practice address
506 Sumter St Montezuma GA 31063-1734
Phone: (478) 472-8168
Fax: (478) 472-2373
Website:
Map and Directions
Authorized official contact:
Name: Crisp, Jackie
Phone: (478) 472-8168

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X 1-094-1731 Georgia

Profile Details

NPI number 1366464976
LBN Legal business name Montezuma Health Care Center Llc
DBA Doing business as <Unavail>
Authorized official Crisp, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 24th, 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 1366464976 NPPES
Georgia MEDICAID 287282627D

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