Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareGEORGIA DEPT OF HUMAN RESOURCES
Intermediate Care Facility, Mental Illness
Milledgeville, Georgia
Provider NPI: 1073626347
Organization Information:Organization Name: GEORGIA DEPT OF HUMAN RESOURCES
Practice Location:
189 BOONE CIR MILLEDGEVILLE, GA 31062 US
Tel: 478-445-4128 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
189 BOONE CIR MILLEDGEVILLE, GA 31062 US
Tel: 478-445-4128 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00438655A | GA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin