Organization
SUNNY DALE SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYE YOUNG (DIRECTTOR)
(229) 468-9494
Entity
Organization
Contact information
Practice address
611 LAX HWY, OCILLA, GA 31774-2223
(229) 468-9494
(229) 468-7224
Mailing address
PO BOX 512, OCILLA, GA 31774-0512
(229) 468-9494
(229) 468-7224
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
077R0846
GA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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