Georgia Mountains Community Services
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Toccoa, GA
NPI 1245541192 · NPPES record last updated Jun 25, 2010
Key facts
- NPI
- 1245541192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- GEORGIA MOUNTAINS COMMUNITY SERVICES
- Practice address
- 5700 Fernside Dr
Toccoa, GA 30577-8942 - Phone
- (706) 886-6521
- Fax
- (678) 513-5836
- NPI assigned
- Jun 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Karen R Tucker
- Title
- Billing Manager
- Phone
- (678) 513-5733
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Georgia Mountain Community SVS
Locations
64 Boulevard
Toccoa, GA 30577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
5700 Fernside Dr
Toccoa, GA 30577-8942
Mailing address
4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone (678) 513-5733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000666553E | Medicaid | GA |
Other names
- Avita Community Partners
Other providers in Toccoa, GA
- Jennifer Adams Gastley
- Georgia CVS Pharmacy LLC
- Georgia Mountain Community SVS
- Georgia Mountains Community Services
- Georgia Mountains Community Services
- Georgia Mountains Community Services
- Georgia Mountains Community Services
- Georgia Mountains Community Services
- Georgia Mountains Community Services
- Georgia Mountains Community Services
All providers in Toccoa, GA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 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.