Peace Academy Charterschool

LBN: Peace Academy Charterschool
Peace Academy Charterschool is an health care organization with primary practice located at 1954 Candler Rd , Decatur GA 30032-4225. The organization recently has 4 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Student Health. Agencies / Local Education Agency (LEA) is the primary health care specialty. Peace Academy Charterschool can be contacted via phone (470) 722-0706, or through King, Tyese Nichole via phone (470) 722-0706.

Contact Information

Primary practice address
1954 Candler Rd Decatur GA 30032-4225
Phone: (470) 722-0706
Fax:
Website:
Map and Directions
Authorized official contact:
Name: King, Tyese Nichole CCMA
Phone: (470) 722-0706

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1952189730
LBN Legal business name Peace Academy Charterschool
DBA Doing business as
Authorized official King, Tyese Nichole CCMA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2023
Last updated Oct 20th, 2023 - about 3 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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