Georgia Mountains Community Services
Organization Active NPI Developmentally Disabled Services Day Training Agency · Baldwin, GA
NPI 1013236777 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1013236777
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- GEORGIA MOUNTAINS COMMUNITY SERVICES
- Practice address
- 294 Dalton Rd
Baldwin, GA 30511-3001 - Phone
- (678) 513-5762
- NPI assigned
- May 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Loretta Jones
- Title
- Business Analyst
- Phone
- (678) 513-5762
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Georgia Mountain Community SVS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
294 Dalton Rd
Baldwin, GA 30511-3001
Mailing address
4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone (678) 513-5762
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000607054BD | Medicaid | GA |
Other providers in Baldwin, GA
- Maureen Burnham
- Amy Beck Conner
- Thomas Jordan Crow
- Nicole Crumley
- Christy A Floyd
- Georgia Mountains Community Services
- James Brown Gilbert III
- Cheryl Glover
- Christopher Ryan Gurley
- Habersham Retreat, Inc
All providers in Baldwin, GA · Developmentally Disabled Services Day Training Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.