Georgia Dept Of Human Resources
Intermediate Care Facility, Intellectual Disabilities in Milledgeville, GA. Organization (NPI-2).
NPI number1346353075
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346353075
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Dept Of Human Resources
- Organization subpart
- No
- Enumeration date
- Aug 16, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Other names
- Allen Hall (Doing Business As)
Practice location
171 Allen RdMilledgeville, GA 31062-7525
Phone 478-445-4128
Mailing address
171 Allen RdMilledgeville, GA 31062-7525
Authorized official
Marvin Bailey
Regional Hospital Administrator
4784454128
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