# LAURENS COUNTY BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAURENS COUNTY BOARD OF HEALTH
- **Other names:** Early Intervention Case MGT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770765828
- **Legal business name:** LAURENS COUNTY BOARD OF HEALTH
- **Authorized official:** MR. BRUCE WILKES EVANS (ADMINISTRATOR)
- **Authorized official phone:** (478) 275-6545

## Contact information

- **Practice address:** 1623 RICE AVE, DUBLIN, GA 31021-3522
- **Practice address phone:** (478) 275-6841
- **Practice address fax:** (478) 274-7893
- **Mailing address:** 1623 RICE AVE, DUBLIN, GA 31021-3522
- **Mailing address phone:** (478) 275-6841
- **Mailing address fax:** (478) 274-7893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 11/30/2007