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IJN CHILD & ADULT CARE HOMES NPI 1366752578


NPI Information

NPI: 1366752578
Provider Name: IJN CHILD & ADULT CARE HOMES

Doing Business As: IJN ADULT PERSONAL CARE HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1949 VICKI LANE
ATLANTA, GA
ZIP 30316
Phone: (404) 447-0800
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IJN CHILD & ADULT CARE HOMES is a community based residential treatment facility, intellectual and/or developmental disabilities in Atlanta, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. IJN CHILD & ADULT CARE HOMES NPI is 1366752578. The provider is registered as an organization entity type.
The provider Is Doing Business As Ijn Adult Personal Care Home.

The provider's business location address is:

1949 VICKI LANE
ATLANTA, GA
ZIP 30316-108
Phone: (404) 447-0800
Fax: (404) 284-7478

The provider's authorized official is Gina Blake .
The authorized official title is Director and has the following contact phone number (404) 447-0800.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 10/21/2010.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities416579002AGEORGIAYes

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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