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Georgia Mountain Community Services

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

NPI 1427313006 · NPPES record last updated Jul 10, 2012

Key facts

NPI
1427313006
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GEORGIA MOUNTAIN COMMUNITY SERVICES
Practice address
358 Emory Chambers Rd
Lula, GA 30554-3900
Phone
(678) 513-5720
Fax
(678) 513-5836
NPI assigned
Jul 10, 2012
Organization subpart
No

Authorized official

Name
Tammy 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

358 Emory Chambers Rd
Lula, GA 30554-3900

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
000607054BYOtherGARESIDENTIAL HOME

Other names

  • Avita Community Partners Doing business as

Other providers in Lula, GA

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

Sources for this page

Verify at the official NPI Registry.