Organization
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Active
Parent organization
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Other names
Central Care (Day Habilitation)
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Authorized official
MR. GEORGE HARRIS (DIRECTOR)
(478) 445-8182
Entity
Organization
Contact information
Practice address
620 BROAD ST, CENTRAL CARE-YARBROUGH BLDG-3RD FLOOR, MILLEDGEVILLE, GA 31062-7525
(478) 445-8182
Mailing address
620 BROAD ST, CENTRAL CARE-YARBROUGH BLDG-3RD FLOOR, MILLEDGEVILLE, GA 31062-7525
(478) 445-8182
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000355737AK
—
GA
05
—
000355737X
—
GA
Enumeration date
12/09/2008
Last updated
12/09/2008
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