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CARE OF LATRELLE LLC NPI 1174067276


NPI Information

NPI: 1174067276
Provider Name: CARE OF LATRELLE, LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
127 WAVERLY WAY
SAVANNAH, GA
ZIP 31407
Phone: (912) 220-8105
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CARE OF LATRELLE, LLC is an adult care home custodial care facility in Savannah, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CARE OF LATRELLE, LLC NPI is 1174067276. The provider is registered as an organization entity type.

The provider's business location address is:

127 WAVERLY WAY
SAVANNAH, GA
ZIP 31407-032
Phone: (912) 220-8105

The provider's authorized official is Kimberly Davis .
The authorized official title is Credentialing Specialists and has the following contact phone number (912) 484-3879.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 12/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
2311ZA0620XCustodial Care FacilityAdult Care HomeYes

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: 4/28/2024

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