Organization · Type 2 NPI

Georgia Dept of Human Resources

Intellectual Disabilities Intermediate Care Facility · Milledgeville, GA

NPI number 1871606178 Active

Practice location

451 Boland Cir
Milledgeville, GA 31062-7525

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1871606178

Georgia Dept of Human Resources's National Provider Identifier is 1871606178, issued on Aug 17, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Milledgeville, GA. The record was last updated on Aug 22, 2020.