Organization
GEORGIA DEPT OF HUMAN RESOURCES
Active
Organization
GEORGIA DEPT OF HUMAN RESOURCES
Active
Other names
Central Care Community SVS SME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE HARRIS (DIRECTOR)
(478) 445-8182
Entity
Organization
Contact information
Practice address
170 WOODLAND CIR, VARIOUS OTHER GROUP HOME ADDRESSES, MILLEDGEVILLE, GA 31061-2463
(478) 445-8182
Mailing address
647 SWINT AVE, 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
005-01-026-9
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000955578H
—
GA
Enumeration date
08/14/2006
Last updated
04/09/2009
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