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Contact Information

RESTORATION HEALTHCARE OF COMMERCE, LLC
70 MEDICAL CENTER DR
COMMERCE, GA30529-1078
 Phone: 706-335-1000
 Fax: 706-335-7701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for RESTORATION HEALTHCARE OF COMMERCE, LLC

NPI # 1376860403
LBN Legal business name RESTORATION HEALTHCARE OF COMMERCE, LLC
Authorized official STEPHEN CLAPP - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2010
Last updated 04/29/2010 - About 16 years ago
Identifiers
GA License # 1-078-0292
GA Medicaid 000059331A
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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