Organization
WILKINSON SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIA T. BURNEY (DIRECTOR)
(478) 628-2777
Entity
Organization
Contact information
Practice address
113 SOLOMON ST, GORDON, GA 31031-0069
(478) 628-2777
(478) 628-2780
Mailing address
113 SOLOMON ST, P. O. BOX 69, GORDON, GA 31031-3323
(478) 628-2777
(478) 628-2780
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/10/2007
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