Organization
MENTAL RETARDATION WAVIER PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY ALEXANDER (CEO)
(706) 596-5582
Entity
Organization
Contact information
Practice address
9993 GA HIGHWAY 116, HAMILTON, GA 31811
(706) 596-5583
(706) 596-5589
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5586
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/13/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us