Easter Seals Southern Georgia INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Albany, GA. Organization (NPI-2).
NPI number1124085451
StatusActive
Last updated in NPPESJan 24, 2021
Details
- NPI
- 1124085451
- Entity type
- Organization (NPI-2)
- Legal business name
- Easter Seals Southern Georgia INC.
- Organization subpart
- No
- Enumeration date
- Apr 28, 2006
- Certification date
- Jan 24, 2021
- Last updated
- Jan 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 047-R-0011 | GA | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | 047-R-0011 | GA | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 047-R-0011 | GA | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 047-r-011 | GA |
Practice location
1906 Palmyra RdAlbany, GA 31701-1575
Phone 229-439-7061 · Fax 229-439-2824
Mailing address
1906 Palmyra RdAlbany, GA 31701-1575
Phone 229-439-7061 · Fax 229-439-2824
Authorized official
Matt Hatcher
Coo
2294397061
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