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Organization
THE ARC OF MACON
Active
Organization
THE ARC OF MACON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ANDREW HARRELL LCSW (CHIEF ADMINISTRATIVE OFFICER)
(478) 477-7764
Entity
Organization
Contact information
Practice address
4664 SHERATON DR, MACON, GA 31210-1322
(478) 477-7764
(478) 477-8824
Mailing address
4664 SHERATON DR, MACON, GA 31210-1322
(478) 477-7764
(478) 477-8824
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
011-R-0040
GA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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