Organization
ATHENS COMMUNITY COUNCIL ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE DEESE (CEO/PRESIDENT)
(706) 549-4850
Entity
Organization
Contact information
Practice address
1774 OLD WEST BROAD ST, ATHENS, GA 30606-2865
(706) 548-6476
(706) 548-6133
Mailing address
135 HOYT ST, ATHENS, GA 30601-2646
(706) 549-4850
(706) 549-7786
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120128A
—
GA
Enumeration date
01/04/2007
Last updated
04/14/2014
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