Organization Name: | HHSRC NEUROMUSCULAR |
NPI Number: | 1285029884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MEDDLING (OWNER/ NEUROMUSCULAR THERAPIST) |
Mailing Address: | 5474 Oakley Industrial Blvd Apt. 1032 Fairburn |
State: | GA US |
Postal Code: | 302134455 |
Phone Number: | 6787782109 |
Fax Number: | 7707744232 |
NPI Enumeration Date: | 03/31/2015 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | MT002021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |