Clayton Mhddad, NPI 1548458441
Developmentally Disabled Services Day Training Agency in Jonesboro, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1548458441 |
| NPI Entity Type | Organization |
| Provider Name |
Clayton Mhddad
Doing Business As |
| Subpart of Organization | Clayton Mhddad |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 157 Smith St, Jonesboro, GA, US |
| Provider Mailing Address | 157 Smith St, Jonesboro, GA, US, 302363546 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Terry Cole |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 770-478-2280 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Developmentally Disabled Services Day Training Agency |
| Classification | |
| Group | |
| Description | These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00604205D | GA | MEDICAID | 05 |
| 00881218A | GA | MEDICAID | 05 |
| 00586176F | GA | MEDICAID | 05 |
| 00626249C | GA | MEDICAID | 05 |
| 00884056A | GA | MEDICAID | 05 |
| 00606922B | GA | MEDICAID | 05 |
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