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Organization

DOUGHERTY COUNTY COMMUNITY COALITION, INC

Active
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Organization

DOUGHERTY COUNTY COMMUNITY COALITION, INC

Active
Other names
Friendship Personal Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PORTIA S JOHNSON (ADMINISTRATOR)
(229) 438-8517
Entity
Organization

Contact information

Practice address
723 W OGLETHORPE BLVD, ALBANY, GA 31701-2777
(229) 438-8517
Mailing address
723 W OGLETHORPE BLVD, P O BOX 4803, ALBANY, GA 31701-2777
(229) 438-8517

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
04/11/2007
Last updated
08/22/2020
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