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OUR SPOT NPI 1912343302


NPI Information

NPI: 1912343302
Provider Name: OUR SPOT

Doing Business As: THE SPOT

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1015 E INMAN ST
STATESBORO, GA
ZIP 30458
Phone: (912) 541-2809
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OUR SPOT is a residential treatment facility emotionally disturbed children in Statesboro, GA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. OUR SPOT NPI is 1912343302. The provider is registered as an organization entity type.
The provider Is Doing Business As The Spot.

The provider's business location address is:

1015 E INMAN ST
STATESBORO, GA
ZIP 30458-049
Phone: (912) 541-2809

The provider's authorized official is Roosevelt Cone .
The authorized official title is Owner/director and has the following contact phone number (912) 541-2809.

The enumeration date for this NPI number is 5/13/2013 and was last updated on 1/21/2015.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children13BL0437GEORGIAYes

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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