MARCUS JEWISH COMMUNITY CENTER OF ATLANTA INC. NPI 1609205772

NPI Information

NPI: 1609205772
Provider Name: MARCUS JEWISH COMMUNITY CENTER OF ATLANTA, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
5342 TILLY MILL RD
DUNWOODY, GA
ZIP 30338
Phone: (678) 812-3740
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MARCUS JEWISH COMMUNITY CENTER OF ATLANTA, INC. is an adult day care clinic center in Dunwoody, GA. MARCUS JEWISH COMMUNITY CENTER OF ATLANTA, INC. NPI is 1609205772. The provider is registered as an organization entity type.

The provider's business location address is:

5342 TILLY MILL RD
DUNWOODY, GA
ZIP 30338-426
Phone: (678) 812-3740
Fax: (770) 458-3446

The provider's authorized official is Gail Luxenberg .
The authorized official title is Chief Executive Officer and has the following contact phone number (678) 812-4000.

The enumeration date for this NPI number is 11/8/2013 and was last updated on 11/8/2013.

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	00012016A	MEDICAID	GEORGIA
2	00012016B	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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