Organization · Type 2 NPI

Georgia Department of Human Resources

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milledgeville, GA

NPI number 1356586259 Active

Practice location

1631 Valley Cir
Milledgeville, GA 31062-0001

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1356586259
Entity type: Organization (Type 2)
Issued: Dec 5, 2008
Last updated: Dec 5, 2008
Status: Active
Subpart: Yes of Georgia Department of Human Resources

Other names

<unavail>
Central Care (1631 Valley Circle) · doing business as

Authorized official

Mr. George Harris
Director
(478) 445-8182

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356586259

Georgia Department of Human Resources's National Provider Identifier is 1356586259, issued on Dec 5, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Milledgeville, GA. The record was last updated on Dec 5, 2008.