Organization
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Active
Other names
Central Care (120 Daphne St)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE HARRIS (DIRECTOR)
(478) 445-8182
Entity
Organization
Contact information
Practice address
120 DAPHNEY ST SE, MILLEDGEVILLE, GA 31061-4342
(478) 445-8182
Mailing address
120 DAPHNEY ST SE, MILLEDGEVILLE, GA 31061-4342
(478) 445-8182
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367122367A
—
GA
Enumeration date
05/05/2008
Last updated
05/05/2008
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