Providence Private Care Home And Providence Community Living Arrangem

LBN: Providence Care Inc
Providence Private Care Home And Providence Community Living Arrangem is an health care organization with primary practice located at 216 Nw Broad St Ste B , Fairburn GA 30213-4106. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Providence Care Inc can be contacted via phone (678) 489-2069, or through Okpala, Stella Ngozi via phone (404) 931-7854.

Contact Information

Primary practice address
216 Nw Broad St Ste B Fairburn GA 30213-4106
Phone: (678) 489-2069
Fax: (678) 489-8627
Website:
Map and Directions
Authorized official contact:
Name: Okpala, Stella Ngozi PHARM.D
Phone: (404) 931-7854

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 060-R-1019 Georgia

Profile Details

NPI number 1376805630
LBN Legal business name Providence Care Inc
DBA Doing business as Providence Private Care Home And Providence Community Living Arrangem
Authorized official Okpala, Stella Ngozi PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2012
Last updated Jun 13th, 2012 - about 14 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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