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Contact Information

FOUNDATION COMMUNITY SERVICES, LLC
2432 SHORELINE PKWY
VILLA RICA, GA30180-3484
 Phone: 229-591-0194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for FOUNDATION COMMUNITY SERVICES, LLC

NPI # 1942000732
LBN Legal business name FOUNDATION COMMUNITY SERVICES, LLC
Authorized official CLIFTON CLARK - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2025
Last updated 03/24/2025 - More than a year 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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