Organization · Type 2 NPI
Georgia DFCS Region 12
Meals Provider · Brunswick, GA
NPI number
1508426453
Active
Practice location
823 Scranton Rd
Brunswick, GA 31525-6601
Mailing address
PO Box 580
Brunswick, GA 31521-0580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
| Lodging Provider | 177F00000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1508426453
Georgia DFCS Region 12's National Provider Identifier is 1508426453, issued on Jun 13, 2019. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Brunswick, GA. The record was last updated on Jun 13, 2019.