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Georgia Mountains Community Services

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

NPI 1366708448 · NPPES record last updated Apr 3, 2012

Key facts

NPI
1366708448
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GEORGIA MOUNTAINS COMMUNITY SERVICES
Practice address
117 Deerfield Lane
Royston, GA 30662-5074
Phone
(678) 513-5720
NPI assigned
Apr 3, 2012
Organization subpart
No

Authorized official

Name
Tammy Weynette Thompson
Title
Billing Specialist
Phone
(678) 513-5720

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 Yes

Addresses

Primary practice location

117 Deerfield Lane
Royston, GA 30662-5074

Mailing address

4331 Thurmond Tanner Pkwy
Flowery Branch, GA 30542-2829
Phone (678) 513-5720

Other identifiers

IdentifierTypeStateIssuer
000607054BXMedicaidGA

Other names

  • Avita Community Partners Doing business as

Other providers in Royston, GA

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

Sources for this page

Verify at the official NPI Registry.