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THE NATHANIEL WATSON JR. MEMORIAL FOUNDATION INC NPI 1003845967


NPI Information

NPI: 1003845967
Provider Name: THE NATHANIEL WATSON, JR. MEMORIAL FOUNDATION, INC

Doing Business As: BALM OF GILEAD MEDICAL SERVICES

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
506 CALGARY GLEN DRIVE SW
AUSTELL, GA
ZIP 30168
Phone: (770) 770-9196
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THE NATHANIEL WATSON, JR. MEMORIAL FOUNDATION, INC is a hospice care community based in Austell, GA. THE NATHANIEL WATSON, JR. MEMORIAL FOUNDATION, INC NPI is 1003845967. The provider is registered as an organization entity type.
The provider Is Doing Business As Balm Of Gilead Medical Services.

The provider's business location address is:

506 CALGARY GLEN DRIVE SW
AUSTELL, GA
ZIP 30168-284
Phone: (770) 770-9196
Fax: (770) 732-0739

The provider's authorized official is Valerie Watson-baxter .
The authorized official title is Ceo and has the following contact phone number (770) 693-8852.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 9/9/2008.


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
13140N1450XSkilled Nursing FacilityNursing Care, PediatricGEORGIANo
2251G00000XHospice Care, Community BasedYes

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

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