Organization Name: | CHESTNUT MANOR, INC. |
NPI Number: | 1386921336 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHIRLEY NAPIER-BRADY (EXECUTIVE DIRECTOR) |
Mailing Address: | 8673 Chestnut Ln Lithia Springs |
State: | GA US |
Postal Code: | 301223410 |
Phone Number: | 7709209369 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2011 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 12040 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |