Organization
SOUTHEASTERN SUPPORT CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JOHNSTON (CEO)
(706) 341-3592
Entity
Organization
Contact information
Practice address
3523 FULLER ST, COLUMBUS, GA 31907-2554
(706) 341-3592
Mailing address
3523 FULLER ST, COLUMBUS, GA 31907-2554
(706) 341-3592
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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