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LOWNDES COUNTY HEALTH SERVICES LLC

Intermediate Care Facility, Mentally Retarded

Valdosta, Georgia

Provider NPI: 1316994833

Organization Information:
Organization Name:  LOWNDES COUNTY HEALTH SERVICES LLC


Practice Location:
1501 N LEE ST  VALDOSTA, GA 31602 US
Tel: 229-242-6268  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
GA2-092-532

Other Provider Identifiers:

IssuerNumberStateType
00142348AGA05
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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