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Georgia Mountain Community Services

Organization Active NPI Developmentally Disabled Services Day Training Agency · Flowery Branch, GA

NPI 1306178546 · NPPES record last updated Mar 17, 2010

Key facts

NPI
1306178546
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GEORGIA MOUNTAIN COMMUNITY SERVICES
Practice address
4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone
(678) 513-5762
NPI assigned
Feb 12, 2010
Organization subpart
No

Authorized official

Name
Mrs. Loretta B Jones
Title
Business
Phone
(678) 513-5762

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Georgia Mountain Community SVS (127 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X GA Yes

Addresses

Primary practice location

4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829

Mailing address

4331 Thurmon Tanner Rd
Flowery Branch, GA 30542-2829
Phone (678) 513-5762

Other identifiers

IdentifierTypeStateIssuer
000607054BJMedicaidGA
000607054AYMedicaidGA

Other providers in Flowery Branch, GA

All providers in Flowery Branch, GA · Developmentally Disabled Services Day Training Agency in Georgia

Sources for this page

Verify at the official NPI Registry.