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Contact Information

COUNTRY AIR VILLA LLC
8835 NORTHCUTT RD
FAIRBURN, GA30213-2278
 Phone: 404-769-2963
 Fax: 770-964-5565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for COUNTRY AIR VILLA LLC

NPI Number 1093317000
LBN Legal business name COUNTRY AIR VILLA LLC
Authorized official ANDREA CARGILL - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2020
Last updated 11/13/2020 - About 6 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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