Georgia Dept of Human Resources

NPI #1346353075 in Milledgeville, Georgia

Provider Information

NPI Number
1346353075
Entity Type
Organization
Organization Name
Georgia Dept of Human Resources
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Aug 16, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
171 ALLEN RD
State
Georgia
ZIP Code
31062-7525
Phone
(478) 445-4128

Authorized Official

Name
MR. MARVIN BAILEY
Title
REGIONAL HOSPITAL ADMINISTRATOR
Phone
(478) 445-4128

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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