# SOUTHERN GEORGIA REGIONAL COMMISSION

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

## Provider details

- **NPI number:** 1629731617
- **Authorized official:** MRS. LISA CRIBB (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (912) 285-6097

## Contact information

- **Practice address:** 1725 S GEORGIA PKWY W, WAYCROSS, GA 31503-0169
- **Practice address phone:** (912) 285-6097
- **Practice address fax:** (912) 285-6126
- **Mailing address:** 1725 S GEORGIA PKWY W, WAYCROSS, GA 31503-0169
- **Mailing address phone:** (912) 285-6097
- **Mailing address fax:** (912) 285-6126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2021
- **Last updated:** 10/18/2021