Macklander, LLC

NPI #1801134739 in Grovetown, Georgia

Provider Information

NPI Number
1801134739
Entity Type
Organization
Organization Name
Macklander, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MACKLANDER, LLC
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Jan 28, 2013
Last Updated
Jan 28, 2013

Practice Location

Address
1514 BALDWIN LAKES DR
State
Georgia
ZIP Code
30813-5887
Phone
(706) 854-0555

Authorized Official

Name
MRS. SHELLEY DIANE MACK
Title
ADMINISTRATOR
Phone
(706) 854-0555

Specialties & Taxonomy Codes

Specialty
Nursing Care
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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