Organization
FIRST BORN OUTREACH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSIE DENNIS (ADMINISTRATOR)
(478) 825-5119
Entity
Organization
Contact information
Practice address
527 RAILROAD ST, FORT VALLEY, GA 31030-2700
(478) 825-5119
(478) 825-8851
Mailing address
PO BOX 109, FORT VALLEY, GA 31030-0109
(478) 825-5119
(478) 825-8851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
111-R-0370
GA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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