Organization
LYNNDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY M. SMITH (EXECUTIVE DIRECTOR)
(706) 738-3395
Entity
Organization
Contact information
Practice address
1490 EISENHOWER DR, AUGUSTA, GA 30904-5935
(706) 738-3395
(706) 738-3335
Mailing address
1490 EISENHOWER DR, AUGUSTA, GA 30904-5935
(706) 738-3395
(706) 738-3335
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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