Organization
GRIFFIN AREA RESOURCE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WALLACE (EXECUTIVE DIRECTOR)
(770) 228-9919
Entity
Organization
Contact information
Practice address
931 HAMILTON BLVD, GRIFFIN, GA 30223-4430
(770) 228-9919
Mailing address
PO BOX 847, GRIFFIN, GA 30224-0022
(770) 228-9919
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647127A
—
GA
05
—
000647127L
—
GA
Enumeration date
04/27/2022
Last updated
04/27/2022
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