ADULT DAY OF DUNWOODY NPI 1134652555

NPI Information

NPI: 1134652555
Provider Name: ADULT DAY OF DUNWOODY
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1 DUNWOODY PARK
SUITE 123
DUNWOODY, GA
ZIP 30338
Phone: (770) 551-2722
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ADULT DAY OF DUNWOODY is an adult day care clinic center in Dunwoody, GA. ADULT DAY OF DUNWOODY NPI is 1134652555. The provider is registered as an organization entity type.

The provider's business location address is:

1 DUNWOODY PARK
SUITE 123
DUNWOODY, GA
ZIP 30338-404
Phone: (770) 551-2722
Fax: (770) 551-2729

The provider's authorized official is Christopher Burds .
The authorized official title is Owner and has the following contact phone number (678) 298-9484.

The enumeration date for this NPI number is 4/4/2017 and was last updated on 4/4/2017.

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			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	Other Provider Identifier Issuer
1	003175024A	MEDICAID	GEORGIA
2	VA24716A0004	OTHER	GEORGIA	VA

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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