Organization
GEORGIA MOUNTIANS 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
1621 HOLBROOKS RD, BLAIRSVILLE, GA 30512-6436
(706) 591-1111
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
—
000666542S
—
GA
Enumeration date
06/03/2010
Last updated
06/03/2010
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