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MCKNIGHT PERSONAL CARE HOME INC NPI 1407158231


NPI Information

NPI: 1407158231
Provider Name: MCKNIGHT PERSONAL CARE HOME INC,
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
3045 CARRIAGE TRL
JONESBORO, GA
ZIP 30236
Phone: (678) 519-2115
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MCKNIGHT PERSONAL CARE HOME INC, is a residential treatment facility, intellectual and/or developmental disabilities in Jonesboro, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MCKNIGHT PERSONAL CARE HOME INC, NPI is 1407158231. The provider is registered as an organization entity type.

The provider's business location address is:

3045 CARRIAGE TRL
JONESBORO, GA
ZIP 30236-835
Phone: (678) 519-2115
Fax: (678) 216-0311

The provider's authorized official is Shanteria Lashun Mcknight .
The authorized official title is Director and has the following contact phone number (678) 643-3600.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 11/30/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1323P00000XPsychiatric Residential Treatment FacilityNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental 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: 5/5/2024

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