Organization
SIGNATURE ACTIVITY CENTER
Active
Parent organization
SIGNATURE CARE OF GEORGIA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE CARE OF GEORGIA, LLC
Authorized official
MICHAEL POPE (COO)
(678) 485-2527
Entity
Organization
Contact information
Practice address
162 LEXINGTON HTS, ATHENS, GA 30605-2318
(706) 224-4531
Mailing address
PO BOX 80044, ATHENS, GA 30608-0044
(678) 485-2527
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222938820E
—
GA
Enumeration date
12/13/2017
Last updated
12/13/2017
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