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Organization
DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Active
Organization
DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MITCHELL (UNIT MANAGER)
(229) 724-2044
Entity
Organization
Contact information
Practice address
11860 COLUMBIA ST, BLAKELY, GA 39823-2577
(229) 724-2044
(229) 724-2038
Mailing address
PO BOX 747, BLAKELY, GA 39823-0747
(229) 724-2044
(229) 724-2038
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39823
—
GA
Enumeration date
05/22/2019
Last updated
05/22/2019
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