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Georgia Mountains Community Services

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

NPI 1659699056 · NPPES record last updated May 10, 2010

Key facts

NPI
1659699056
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GEORGIA MOUNTAINS COMMUNITY SERVICES
Practice address
67 Ethan Allen Dr
Dahlonega, GA 30533-6616
Phone
(706) 864-6183
NPI assigned
May 10, 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

67 Ethan Allen Dr
Dahlonega, GA 30533-6616

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
000607054AVMedicaidGA

Other providers in Dahlonega, GA

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

Sources for this page

Verify at the official NPI Registry.