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Contact Information

THE DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN, INC.
4896 MILLER RD SW
LILBURN, GA30047-5333
 Phone: 770-806-1621
 Fax: 678-990-9812
 Website:
Indicates primary specialty

NPI Profile & details for THE DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN, INC.

NPI Number 1649584939
LBN Legal business name THE DREAM HOUSE FOR MEDICALLY FRAGILE CHILDREN, INC.
Authorized official KIM MARKS - (CHIEF PROGRAM OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2010
Last updated 07/29/2010 - About 16 years ago
Identifiers
GA License # 067R0725
GA License # CTCC001001
GA Other 513959537A GEORGIA MEDICAID/PEACH CARE FOR KIDS
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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