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GENTILITY PERSONAL CARE HOME LLC NPI 1336314541


NPI Information

NPI: 1336314541
Provider Name: GENTILITY PERSONAL CARE HOME, LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
2803 AUSTIN RIDGE DR
DACULA, GA
ZIP 30019
Phone: (678) 977-5134
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GENTILITY PERSONAL CARE HOME, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Dacula, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GENTILITY PERSONAL CARE HOME, LLC NPI is 1336314541. The provider is registered as an organization entity type.

The provider's business location address is:

2803 AUSTIN RIDGE DR
DACULA, GA
ZIP 30019-108
Phone: (678) 977-5134
Fax: (678) 226-2944

The provider's authorized official is Brandi Marie Nesbitt .
The authorized official title is Executive Director and has the following contact phone number (678) 977-5134.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/29/2008.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities061-01-320-9GEORGIAYes

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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