Organization
HAND-N-HAND PCH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA PHILLIPS (CEO)
(229) 873-1968
Entity
Organization
Contact information
Practice address
125 JANETTE LN, MOULTRIE, GA 31788-7837
(229) 873-1968
(229) 324-2057
Mailing address
125 JANETTE LN, MOULTRIE, GA 31788-7837
(229) 873-1968
(229) 324-2057
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
CLA002111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225233062A
—
GA
Enumeration date
02/06/2017
Last updated
02/06/2017
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