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11D2138819 CLIA NUMBER - PARTNERSHIP FOR HEALTH HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 11D2138819

Facility Name: PARTNERSHIP FOR HEALTH HEALTHCARE, LLC

Facility Address:
2030 BOLTON ROAD, SUITE 300
ATLANTA, GA
ZIP 30318
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Facility Phone Number: 404 792-9900

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1942502364

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 11D2138819
LAB Type Home Health Agency
Facility Name PARTNERSHIP FOR HEALTH HEALTHCARE, LLC
Street 2030 BOLTON ROAD, SUITE 300
City ATLANTA
State GA
ZIP 30318
Phone 404 792-9900
CertificateType 4
CertificateEffectiveDate 10/25/2023
CertificateExpirationDate 10/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024