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Contact Information

HARVESTLODGE HOMES AND SERVICES FOR CHILDREN AND FAMILIES
4187 CONNOR DR.
ELLENWOOD, GA30294
 Phone: 770-981-2903
 Fax: 770-808-6648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for HARVESTLODGE HOMES AND SERVICES FOR CHILDREN AND FAMILIES

NPI # 1467645044
LBN Legal business name HARVESTLODGE HOMES AND SERVICES FOR CHILDREN AND FAMILIES
Authorized official DANNETTA SPARKS - (CEO/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2007
Last updated 08/27/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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