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Organization
MACON CITIZENS FOR THE HANDICAPPED, INC.
Active
Organization
MACON CITIZENS FOR THE HANDICAPPED, INC.
Active
Other names
Iotla Street Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE GARRETT (EXECUTIVE DIRECTOR)
(828) 524-5888
Entity
Organization
Contact information
Practice address
406 IOTLA ST, FRANKLIN, NC 28734-2579
(828) 524-5888
(828) 369-5758
Mailing address
PO BOX 698, FRANKLIN, NC 28744-0698
(828) 524-5888
(828) 369-5758
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-056-005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340603N
—
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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