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Organization
FIVE-T HOUSING LLC
Active
Organization
FIVE-T HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABBERTINA BUNDRAGE (CEO)
(478) 456-1036
Entity
Organization
Contact information
Practice address
1776 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-2229
(478) 456-1036
Mailing address
1776 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-2229
(478) 456-1036
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
Other
Enumeration date
11/15/2025
Last updated
11/15/2025
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