Organization
MIDDLE GEORGIA CENTER FOR INDEPENDENT LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEVERETT (CEO/CFO)
(478) 741-1425
Entity
Organization
Contact information
Practice address
3695 BROADWAY, MACON, GA 31206-1641
(478) 741-1425
(478) 755-1571
Mailing address
3695 BROADWAY, MACON, GA 31206-1641
(478) 741-1425
(478) 755-1571
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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