Organization
HIGHLAND RIVERS CENTER CSB
Active
Parent organization
HIGHLAND RIVERS CENTER CSB
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGHLAND RIVERS CENTER CSB
Authorized official
MR. FRANK AARON (CEO)
(706) 270-5000
Entity
Organization
Contact information
Practice address
1620 HICKORY ST, SUITE 408, DALTON, GA 30720-2312
(706) 270-5003
(706) 370-7749
Mailing address
1620 HICKORY ST, SUITE 408, DALTON, GA 30720-2312
(706) 270-5003
(706) 370-7749
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000603468N
—
GA
01
—
1447256243
ORGANIZATIONAL NPI NUMBER
GA
Enumeration date
06/30/2009
Last updated
06/30/2009
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