Organization
MIDDLE FLINT COMMUNITY SERVICE BOARD
Active
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Authorized official
MARGARET JORDAN (UTILIZATION MANAGER)
(229) 815-5286
Entity
Organization
Contact information
Practice address
421 ELM STREET, AMERICUS, GA 31709-3704
(229) 931-2470
(229) 931-2474
Mailing address
P.O. DRAWER 1348, AMERICUS, GA 31709-1348
(229) 931-2470
(229) 931-2474
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000607087A
—
GA
Enumeration date
02/12/2008
Last updated
12/29/2021
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