Organization
DAILY GRACE ADULT DAY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EULANDA LARA WALLER OTR/L (ADMINISTRATOR)
(478) 318-2313
Entity
Organization
Contact information
Practice address
868 HIGHWAY 49, MACON, GA 31211
(478) 745-4700
Mailing address
868 GA-49, MACON, GA 31211
(478) 745-4700
(478) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC000150
GA
311Z00000X
Custodial Care Facility
ADC000150
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADC000150
DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
01/05/2017
Last updated
08/21/2017
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