Organization
GEORGIA MOUNTAINS COMMUNITY SERVICES
Active
Parent organization
PARENT ORGANIZATION
Other names
Avita Community Partners
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARENT ORGANIZATION
Authorized official
MRS. LORETTA JONES (BUSINESS MANAGER)
(678) 513-5762
Entity
Organization
Contact information
Practice address
1143 RACETRACK RD, EASTANOLLEE, GA 30538-2928
(678) 513-5762
(678) 513-5831
Mailing address
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5762
(678) 513-5831
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000600795AK
—
GA
Enumeration date
03/02/2017
Last updated
05/02/2017
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