Organization
MADISON COUNTY BOARD OF COMMISSIONERS HDM
Active
Other names
Madison County Senior Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRI MAE WYATT (BILLING SPECIALIST)
(706) 795-6307
Entity
Organization
Contact information
Practice address
1265 98 WEST, DANIELSVILLE, GA 30633
(706) 795-2542
Mailing address
PO BOX 777, DANIELSVILLE, GA 30633-0777
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000610046A
MADISON CO BRD OF COMMISS
GA
Enumeration date
11/30/2006
Last updated
05/23/2008
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