Organization
SOUTHERN COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA MILLER (DIRECTOR)
(678) 588-3789
Entity
Organization
Contact information
Practice address
155 WESTRIDGE PKWY, MCDONOUGH, GA 30253-3049
(678) 588-3789
(678) 610-5604
Mailing address
537 COLD WATER LN, MCDONOUGH, GA 30252-8066
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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