# THE ARC OF MACON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013269992
- **Authorized official:** MR. KENNETH ANDREW HARRELL LCSW (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (478) 477-7764

## Contact information

- **Practice address:** 4664 SHERATON DR, MACON, GA 31210-1322
- **Practice address phone:** (478) 477-7764
- **Practice address fax:** (478) 477-8824
- **Mailing address:** 4664 SHERATON DR, MACON, GA 31210-1322
- **Mailing address phone:** (478) 477-7764
- **Mailing address fax:** (478) 477-8824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 011-R-0040 | GA | Yes |

## Other

- **Enumeration date:** 10/03/2012
- **Last updated:** 10/03/2012