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JD WALLACE ENTERPRISES NPI 1346552478


NPI Information

NPI: 1346552478
Provider Name: JD WALLACE ENTERPRISES

Doing Business As: FAMILY HEALTH CARE SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4286 MEMORIAL DR STE C
SUITE B
DECATUR, GA
ZIP 30032
Phone: (404) 499-0342
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JD WALLACE ENTERPRISES is a community behavioral health in Decatur, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JD WALLACE ENTERPRISES NPI is 1346552478. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Health Care Services.

The provider's business location address is:

4286 MEMORIAL DR STE C
SUITE B
DECATUR, GA
ZIP 30032-221
Phone: (404) 499-0342
Fax: (678) 928-9427

The provider's authorized official is John David Wallace .
The authorized official title is Ceo and has the following contact phone number (323) 558-2797.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/25/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthYes

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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