Tift County Board of Health D/b/a Diversified Enterprises

NPI #1104190222 in Tifton, Georgia

Provider Information

NPI Number
1104190222
Entity Type
Organization
Organization Name
Tift County Board of Health D/b/a Diversified Enterprises
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Mar 7, 2012
Last Updated
Mar 7, 2012

Practice Location

Address
192 VIRGINIA AVE S
Address 2
SUITE 100
City
Tifton
State
Georgia
ZIP Code
31794-8074
Phone
(229) 386-3560

Authorized Official

Name
TERRIE DURDEN
Title
WEB PORTAL MANAGER
Phone
(229) 386-3122

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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