Individual
BETTY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 S JACKSON ST, AMERICUS, GA 31709-3903
(229) 815-2446
Mailing address
303 S JACKSON ST, AMERICUS, GA 31709-3903
(229) 815-2446
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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