PEACHTREE CHRISTIAN HEALTH INC. NPI 1366035230

NPI Information

NPI: 1366035230
Provider Name: PEACHTREE CHRISTIAN HEALTH, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 11D2288142

Address:
3430 DULUTH PARK LN
DULUTH, GA
ZIP 30096
Phone: (770) 624-2727
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PEACHTREE CHRISTIAN HEALTH, INC. is an adult day care clinic center in Duluth, GA. PEACHTREE CHRISTIAN HEALTH, INC. NPI is 1366035230. The provider is registered as an organization entity type.

The provider's business location address is:

3430 DULUTH PARK LN
DULUTH, GA
ZIP 30096-257
Phone: (770) 624-2727
Fax: (770) 624-2594

The provider's authorized official is Anne M Mancini .
The authorized official title is Ceo and has the following contact phone number (770) 624-2727.

The CLIA number assigned to this NPI record is 11D2288142 - other - adult day hlth ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2021 and was last updated on 2/11/2021.

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

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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