Organization
TWIN OAKS LIVING COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESHA BLOUNT (CEO)
(770) 550-1084
Entity
Organization
Contact information
Practice address
887 TH TIPPETT RD, VIDALIA, GA 30474-9773
(770) 550-1084
(912) 537-0825
Mailing address
111 PINE ST W, VIDALIA, GA 30474-3114
(770) 550-1084
(912) 537-0825
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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