Organization
GEORGIA MOUNTAINS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA JONES (BUSINESS ANALYST)
(678) 513-5762
Entity
Organization
Contact information
Practice address
5254 BYERS RD, GAINESVILLE, GA 30504-8111
(770) 534-0120
Mailing address
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5762
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000607054AJ
—
GA
Enumeration date
06/04/2010
Last updated
06/04/2010
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