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Macklander, Llc
Developmental Disabilities Clinic/Center in Grovetown, Georgia
NPI 1801134739

Macklander, Llc is a Developmental Disabilities Clinic/Center based in Grovetown, GA and is specialized in Developmental Disabilities. Macklander, Llc practices in Grovetown, GA. The NPI Number for Macklander, Llc is 1801134739 and holds a License No. 036-R-0525 (Georgia).

The current practice location address for Macklander, Llc is 1514 Baldwin Lakes Dr, Grovetown, GA and can be reached out via phone at 706-854-0555 and via fax at 706-651-9677.

Location: 1514 Baldwin Lakes Dr, Grovetown, GA, 30813-5887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801134739
Provider Name
Macklander, Llc
Credential
Provider Entity Type
Organization
Address
1514 Baldwin Lakes Dr, Grovetown, GA, 30813-5887
Phone Number
706-854-0555
Fax Number
706-651-9677
Provider Enumeration Date
01/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
366878280B 05 GA
366878280A 05 GA
institution
Provider Business Practice Location Address Details
Address
1514 Baldwin Lakes Dr
City
Grovetown
State
Georgia
Zip
30813-5887
Phone Number
706-854-0555
Fax Number
706-651-9677
person
Provider Business Mailing Address Details
Address
1514 Baldwin Lakes Dr
City
Grovetown
State
Georgia
Zip
30813-5887
Phone Number
706-854-0555
Fax Number
706-651-9677
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
036-R-0525 (Georgia)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
036-R-0525 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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