Little Debbie'S Second Chance Home, Inc. in Decatur - Residential Treatment Facility, Emotionally Disturbed Children

Little Debbie'S Second Chance Home, Inc. - NPI 1487792396

Little Debbie'S Second Chance Home, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Decatur, Georgia. Little Debbie'S Second Chance Home, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Little Debbie'S Second Chance Home, Inc. is 1487792396. The last update date is 2011-04-20.

Little Debbie'S Second Chance Home, Inc.'s current location address is 3900 Leprechaun Ct, Decatur, Georgia. You can contact this provider via phone number 7709123742 and fax number 4042880671. The mailing address for Little Debbie'S Second Chance Home, Inc. is 3900 Leprechaun Ct, Decatur, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Little Debbie'S Second Chance Home, Inc.
Address 3900 Leprechaun Ct, Decatur, Georgia
Phone Number 7709123742
Fax Number 4042880671
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Stiggers Shavon Lakisha
Telephone Number 7709123742

NPI Number Detail

NPI Number 1487792396
Provider Enumeration Date 2007-02-02
Last Updated Date 2011-04-20

Provider Mailing Address Detail

Address 3900 Leprechaun Ct
City Decatur
State Georgia (GA)
Post Code 300342168
Phone Number 7709123742
Fax Number 4042880671

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No CC1001625
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
585299164A GA --

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FAQs about Little Debbie'S Second Chance Home, Inc.

What is the unique 10-digit identifier code issued to Little Debbie'S Second Chance Home, Inc. by the Centers for Medicare & Medicaid Services?

The Little Debbie'S Second Chance Home, Inc. has been assigned the NPI (National Provider Identifier) 1487792396 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Little Debbie'S Second Chance Home, Inc.?

The Little Debbie'S Second Chance Home, Inc. is physically situated at 3900 Leprechaun Ct, in the city of Decatur, state of GA, with the postal code 300342168.

What is Little Debbie'S Second Chance Home, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Little Debbie'S Second Chance Home, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.

When did Little Debbie'S Second Chance Home, Inc. receive its 1487792396 assignment?

The Little Debbie'S Second Chance Home, Inc. was assigned its 1487792396 on 2007-02-02, which is the date when this unique identifier was issued to the organization.

As of what date were the Little Debbie'S Second Chance Home, Inc.'s details last updated?

The information pertaining to the Little Debbie'S Second Chance Home, Inc., including its address, specialty, and other details, was most recently updated on 2011-04-20.

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