Thomas Grady Service Center

LBN: Thomas Grady Service Center
Thomas Grady Service Center is an health care organization with primary practice located at 106 Plantation Oak Dr , Thomasville GA 31792-3500. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Thomas Grady Service Center can be contacted via phone (229) 225-4065, or through Ellis, Marianne via phone (229) 225-4065.

Contact Information

Primary practice address
106 Plantation Oak Dr Thomasville GA 31792-3500
Phone: (229) 225-4065
Fax: (229) 225-5027
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Marianne
Phone: (229) 225-4065

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1194938696
LBN Legal business name Thomas Grady Service Center
DBA Doing business as
Authorized official Ellis, Marianne
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194938696 NPPES
Georgia MEDICAID 00669413A

Popular Providers