National Provider Identifier Database

TRI COUNTY MEDICAL
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

TRI COUNTY MEDICAL
1775 WOODSTOCK RD
SUITE 110
ROSWELL, GA30075-2171
Phone: 678-990-0510
Fax: 678-990-0521
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for TRI COUNTY MEDICAL

NPI Number 1285680587
Legal business name
LBN
TRI COUNTY MEDICAL
Authorized official SCOTT DEPOL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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