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RIDGEWOOD PERSONAL CARE HOME INC NPI 1356692800


NPI Information

NPI: 1356692800
Provider Name: RIDGEWOOD PERSONAL CARE HOME, INC

Doing Business As: RIDGEWOOD CLA

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1065 MURRAY CIR SW
MARIETTA, GA
ZIP 30064
Phone: (770) 590-7297
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RIDGEWOOD PERSONAL CARE HOME, INC is a developmental disabilities clinic center in Marietta, GA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). RIDGEWOOD PERSONAL CARE HOME, INC NPI is 1356692800. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridgewood Cla.

The provider's business location address is:

1065 MURRAY CIR SW
MARIETTA, GA
ZIP 30064-927
Phone: (770) 590-7297
Fax: (770) 590-7297

The provider's authorized official is Kingsley Ogbuagu .
The authorized official title is Owner and has the following contact phone number (678) 471-4065.

The enumeration date for this NPI number is 9/24/2012 and was last updated on 9/24/2012.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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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