Organization
FIRST OPTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE HENRY RAINFORD (OWNER/DIRECTOR)
(678) 327-6878
Entity
Organization
Contact information
Practice address
928 HIGHWAY 314, FAYETTEVILLE, GA 30214-3404
(678) 327-6878
Mailing address
928 HIGHWAY 314, FAYETTEVILLE, GA 30214-3404
(678) 327-6878
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
056010222
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124860A
—
GA
Enumeration date
07/05/2013
Last updated
07/05/2013
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