Organization
BELAIR AT MACON
Active
Other names
Goldstar Medical Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VANKAAT SANJEEV (OWNER)
(478) 447-0392
Entity
Organization
Contact information
Practice address
4901 HARRISON RD., MACON, GA 31206-4135
(478) 476-9970
(478) 476-4633
Mailing address
4901 HARRISON RD., MACON, GA 31206-4135
(478) 476-9970
(478) 476-4633
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
011-03-008-1
GA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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