Organization
FOUNDATION COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFTON CLARK EDS (OWNER/DIRECTOR)
(229) 591-0194
Entity
Organization
Contact information
Practice address
2432 SHORELINE PKWY, VILLA RICA, GA 30180-3484
(229) 591-0194
Mailing address
2432 SHORELINE PKWY, VILLA RICA, GA 30180-3484
(229) 591-0194
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/19/2025
Last updated
03/24/2025
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