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Georgia Mountains Community Services

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

NPI 1649599861 · NPPES record last updated May 27, 2010

Key facts

NPI
1649599861
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GEORGIA MOUNTAINS COMMUNITY SERVICES
Practice address
16 Roosevelt Ave
Hartwell, GA 30643-7918
Phone
(678) 513-5762
NPI assigned
May 27, 2010
Organization subpart
No

Authorized official

Name
Mrs. Loretta Jones
Title
Business Analyst
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 Yes

Addresses

Primary practice location

16 Roosevelt Ave
Hartwell, GA 30643-7918

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
000669402KMedicaidGA

Other providers in Hartwell, GA

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

Sources for this page

Verify at the official NPI Registry.