GEORGIA LIONS LIGHTHOUSE FOUNDATION


Address: 5582 Peachtree Rd, Chamblee, GA 30341-2383
Phone: 4043253630

GEORGIA LIONS LIGHTHOUSE FOUNDATION (NPI# 1518251818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518251818
Entity Type Organization
Organization Name GEORGIA LIONS LIGHTHOUSE FOUNDATION
Practice Address 5582 Peachtree Rd
Chamblee
GA 30341-2383
Practice Telephone 4043253630
Enumeration Date 2011-06-03
Last Update Date 2011-06-03
Authorized Official Name MRS. CHRISTINA LENNON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4043253630
Authorized Official Credential M.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251K00000X Public Health or Welfare Agencies
Y 251V00000X Voluntary or Charitable Agencies

Office Location

Street Address 5582 PEACHTREE RD
City CHAMBLEE
State GA
Zip Code 30341-2383

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1013343680 Keelan Walker Speech-Language Pathologist 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 2013-09-16
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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Competitor

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City CHAMBLEE
Zip Code 30341

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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