Sid's Place Incorporated

  • 1174823595 NPI Number
  • |
  • Actived: 13 years ago
  • |
Sid's Place Incorporated is a health care provider based in Ellenwood, GA. The NPI Number is 1174823595 and it has been active since 13 years ago. The specialty is Community Based Residential Treatment Facility, Mental Illness, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Community Based Residential Treatment Facility, Mental Illness services, Sid's Place Incorporated is an excellent option. We are here to help you get the care you need.

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Overview of Sid's Place Incorporated

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 11/01/2010
  • Last updated: 11/01/2010

Primary Scrop of Practice

  • Taxonomy Code: 320800000X
  • Specialty: Community Based Residential Treatment Facility, Mental Illness
  • License Number: 031012928
  • License State: GA

Provider Mailing Address

  • Address: 2742 Luke Dr
    Ellenwood, GA 30294
  • Phone: 678-557-8969
  • Fax: 404-521-4888

Provider Practice Location

  • Address: 2742 Luke Dr
    Ellenwood, GA 30294
  • Phone: 678-557-8969
  • Fax: 404-521-4888

Authorized Official

  • Name: MR. Zannie Darrell Black
  • Position/Title: Owner
  • Telephone Number: 678-557-8969

Scope of Practice

  • Taxonomy Code: 310400000X
  • Specialty: Assisted Living Facility
  • License Number: 031012928
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 992605365A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Sid's Place Incorporated?
  • A: The npi number for Sid's Place Incorporated is 1174823595.
  • Q: What are Sid's Place Incorporated's specialties?
  • A: Sid's Place Incorporated's specialties are Community Based Residential Treatment Facility, Mental Illness and different specialities.
  • Q: Where is Sid's Place Incorporated business practice location?
  • A: Sid's Place Incorporated business practice location is 2742 Luke Dr, Ellenwood, GA 30294.
  • Q: How to contact Sid's Place Incorporated?
  • A: You can contact Sid's Place Incorporated via 678-557-8969.
  • Q: What is the authorized official for Sid's Place Incorporated?
  • A: The authorized office name is MR. Zannie Darrell Black with position/title is Owner and you can reach the authorized official via phone number 6785578969.
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