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Organization
OUTBACK CARE GROUP
Active
Organization
OUTBACK CARE GROUP
Active
Parent organization
OUTBACK TECHNOLOGIES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTBACK TECHNOLOGIES INC
Authorized official
ALISON HARPER (ADMINISTRATOR)
(706) 887-5077
Entity
Organization
Contact information
Practice address
6836 BUENA VISTA RD, COLUMBUS, GA 31907-4707
(762) 821-2861
(334) 363-0864
Mailing address
325 LEE ROAD 791, SALEM, AL 36874-1443
(706) 594-4266
(334) 363-0864
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH008458
GA
Other
Enumeration date
12/13/2014
Last updated
03/08/2015
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