Department of Family and Children Services
Organization Active NPI Lodging Provider · Blakely, GA
NPI 1407413776 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1407413776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Lodging Provider 177F00000X
- Legal business name
- DEPARTMENT OF FAMILY AND CHILDREN SERVICES
- Practice address
- 11860 Columbia St
Blakely, GA 39823-2577 - Phone
- (229) 724-2044
- Fax
- (229) 724-2038
- NPI assigned
- May 22, 2019
- Organization subpart
- No
Authorized official
- Name
- Kim Mitchell
- Title
- Unit Manager
- Phone
- (229) 724-2044
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | Yes |
Addresses
Primary practice location
11860 Columbia St
Blakely, GA 39823-2577
Mailing address
PO Box 747
Blakely, GA 39823-0747
Phone (229) 724-2044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39823 | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmitchell@dhs.blakely |
Other providers in Blakely, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. 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.