MEDICARE: VIEW POINT HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	PCH003728	GA

General Provider Information

NPI Number	:	1417295387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIEW POINT HEALTH

Provider Business Mailing Address
First Line	:	175 GWINNETT DR
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-8444
Country	:	US
Telephone Number	:	678-209-2355
Fax Number	:	678-212-6301

Provider Business Practice Location Address
First Line	:	2945 HAMPTON VALLEY DR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-5076
Country	:	US
Telephone Number	:	678-209-2358
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. AMANDA LEDBETTER
Credential	:
Telephone Number	:	678-209-2355

Provider Enumeration Date	:	01/28/2013
Last Update Date	:	01/14/2016

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Directions to “VIEW POINT HEALTH ” Practice Location

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