National Provider Identifier Database

QUENCIES MANOR LLC
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

QUENCIE'S MANOR LLC
2104 JEFFERSONVILLE RD
MACON, GA31217-4517
Phone: 478-832-5479
Fax: 478-239-5148
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for QUENCIE'S MANOR LLC

NPI Number 1619403805
Legal business name
LBN
QUENCIE'S MANOR LLC
Authorized official JOSEPH ANDREWS - (ADMINISTATOR)
Entity Organization
Organization subpart No
Enumeration date 05/07/2017
Last updated 05/07/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PCH009157

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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