Organization
LOWER CHATTAHOOCHEE DIREC SERV CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M TUCKER (EXECUTIVE DIRECTOR)
(706) 327-5208
Entity
Organization
Contact information
Practice address
1500 2ND AVE, COLUMBUS, GA 31901-1808
(706) 327-5208
Mailing address
PO BOX 5801, COLUMBUS, GA 31906-0801
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
000000
GA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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