Organization
OUTBACK CARE GROUP
Active
Parent organization
OUTBACK TECHNOLOGIES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTBACK TECHNOLOGIES INC
Authorized official
ALISON HARPER (ADMINISTRATOR)
(706) 887-5077
Entity
Organization
Contact information
Practice address
6836 BUENA VISTA RD, COLUMBUS, GA 31907-4707
(762) 821-2861
(334) 363-0864
Mailing address
325 LEE ROAD 791, SALEM, AL 36874-1443
(706) 594-4266
(334) 363-0864
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH008458
GA
Other
Enumeration date
12/13/2014
Last updated
03/08/2015
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