Providence Place Llc

LBN: Providence Place Llc
Providence Place Llc is an health care organization with primary practice located at 249 Joe Naia Rd , Jesup GA 31545-4112. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Assisted Living Facility, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Providence Place Llc can be contacted via phone (912) 415-1313, or through Chadwick, Stephanie via phone (912) 415-1313.

Contact Information

Primary practice address
249 Joe Naia Rd Jesup GA 31545-4112
Phone: (912) 415-1313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chadwick, Stephanie
Phone: (912) 415-1313

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1063132876
LBN Legal business name Providence Place Llc
DBA Doing business as
Authorized official Chadwick, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2022
Last updated Aug 31st, 2022 - about 4 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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