Organization
HELPING OUT PEOPLE ENVIRONMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JIMESE ALEXIA LIGHTFOOT (ADMINISTRATOR/OWNER)
(478) 238-6269
Entity
Organization
Contact information
Practice address
1776 TWIN PINES DR, MACON, GA 31211-1235
(478) 238-6269
Mailing address
1776 TWIN PINES DR, MACON, GA 31211-1235
(478) 238-6269
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
—
657967178A
—
GA
Enumeration date
06/19/2009
Last updated
06/19/2009
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