SKYLARK ADH-POWERS FERRY LLC NPI 1568903805

NPI Information

NPI: 1568903805
Provider Name: SKYLARK ADH-POWERS FERRY, LLC

Doing Business As: SKYLARK ADULT DAY CENTER OF COBB

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
120 INTERSTATE NORTH PKWY EAST, SE
SUITE 420
ATLANTA, GA
ZIP 30339
Phone: (678) 741-3900
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SKYLARK ADH-POWERS FERRY, LLC is an adult day care clinic center in Atlanta, GA. SKYLARK ADH-POWERS FERRY, LLC NPI is 1568903805. The provider is registered as an organization entity type.
The provider Is Doing Business As Skylark Adult Day Center Of Cobb.

The provider's business location address is:

120 INTERSTATE NORTH PKWY EAST, SE
SUITE 420
ATLANTA, GA
ZIP 30339-164
Phone: (678) 741-3900
Fax: (678) 741-3901

The provider's authorized official is Edwin Howard Morgens .
The authorized official title is Ceo and has the following contact phone number (770) 476-8400.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	ADC000088	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	383600128D	MEDICAID	GEORGIA
2	949972040A	MEDICAID	GEORGIA
3	383600128C	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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