Organization
BEN HILL MENTAL RETARDATION SERVICE
Active
Other names
The Jessamine Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY B BROOKS (DIRECTOR)
(229) 426-5205
Entity
Organization
Contact information
Practice address
402 S MAIN ST, FITZGERALD, GA 31750-3361
(229) 426-5205
(229) 426-5208
Mailing address
402 S MAIN ST, FITZGERALD, GA 31750-3361
(229) 426-5205
(229) 426-5208
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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