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GEORGIA DEPT OF HUMAN RESOURCES

Intermediate Care Facility, Mentally Retarded

Milledgeville, Georgia

Provider NPI: 1346353075

Organization Information:
Organization Name:  GEORGIA DEPT OF HUMAN RESOURCES


Practice Location:
171 ALLEN RD  MILLEDGEVILLE, GA 31062 US
Tel: 478-445-4128  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
00142414AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS GA - Page 1



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