Organization
FIRST BORN OUTREACH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSIE DENNIS (ADMINISTRATOR)
(478) 825-5119
Entity
Organization
Contact information
Practice address
1000 ML KING JR DR, FORT VALLEY, GA 31030-6246
(478) 825-7011
(478) 825-8851
Mailing address
PO BOX 109, FORT VALLEY, GA 31030-0109
(478) 825-5119
(478) 825-8851
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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