Provider Demographics
NPI:1598828691
Name:NATIONAL ASSISTANCE BUREAU INC.
Entity Type:Organization
Organization Name:NATIONAL ASSISTANCE BUREAU INC.
Other - Org Name:TWIN VIEW HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TYGH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROGDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-650-8773
Mailing Address - Street 1:P.O. BOX 482
Mailing Address - Street 2:
Mailing Address - City:TWIN CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30471
Mailing Address - Country:US
Mailing Address - Phone:478-763-2141
Mailing Address - Fax:478-763-3759
Practice Address - Street 1:211 MATHIS AVE
Practice Address - Street 2:
Practice Address - City:TWIN CITY
Practice Address - State:GA
Practice Address - Zip Code:30471
Practice Address - Country:US
Practice Address - Phone:478-763-2141
Practice Address - Fax:478-763-3759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-053-1660314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00040807AMedicaid
GA11-5540Medicare ID - Type UnspecifiedMEDICARE NUMBER