Organization
REGION IV DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANN PRAINO (FISCAL OPER MGR)
(770) 233-5523
Entity
Organization
Contact information
Practice address
242 ODELL RD STE 5, GRIFFIN, GA 30224-4879
(770) 233-5523
Mailing address
242 ODELL RD STE 5, GRIFFIN, GA 30224-4879
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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