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Organization

THE ARC OF MACON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH ANDREW HARRELL LCSW (CHIEF ADMINISTRATIVE OFFICER)
(478) 477-7764
Entity
Organization

Contact information

Practice address
4664 SHERATON DR, MACON, GA 31210-1322
(478) 477-7764
(478) 477-8824
Mailing address
4664 SHERATON DR, MACON, GA 31210-1322
(478) 477-7764
(478) 477-8824

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
011-R-0040
GA

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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