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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