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Organization

ICARE RESIDENTIAL AND COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACIE JONES (OWNER)
(770) 825-3514
Entity
Organization

Contact information

Practice address
129 MONTROSE DR, MACON, GA 31220-2662
(478) 335-6962
Mailing address
5962 ZEBULON RD STE 329, MACON, GA 31210-2099
(478) 335-6962

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/10/2021
Last updated
12/10/2021
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