Organization
EASTER SEALS WEST GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL GREGORY (FINANCE/ACCOUNTING MANAGER)
(706) 221-4425
Entity
Organization
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
(706) 660-1144
Mailing address
PO BOX 1690, FORTSON, GA 31808-1690
(706) 660-1144
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000551405Q
—
GA
05
—
0033260601D
—
GA
Enumeration date
01/05/2007
Last updated
05/15/2024
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