Coffee CS Comp
Organization Active NPI Developmentally Disabled Services Day Training Agency · Douglas, GA
NPI 1780956458 · NPPES record last updated Jan 27, 2012
Key facts
- NPI
- 1780956458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- COFFEE CS COMP
- Practice address
- 920 College Park Dr W
Douglas, GA 31533-2124 - Phone
- (912) 449-7111
- Fax
- (912) 449-7060
- NPI assigned
- Jan 27, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- SATILLA COMMUNITY SERVICES
Authorized official
- Name
- Bobby Brown
- Title
- Ceo
- Phone
- (912) 449-7111
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Supportive Employment
- Part of
- Supportive Employment
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
920 College Park Dr W
Douglas, GA 31533-2124
Mailing address
1007 Mary St
Waycross, GA 31503-3823
Phone (912) 389-4025
Other providers in Douglas, GA
- Coffee County Nursing Home LLC
- Coffee County Nursing Home, LLC
- Coffee County Nursing Home, LLC
- Coffee County Pediatrics PC
- Coffee County Sleep Services, LLC
- Coffee Emergency Group LLC
- Coffee Family Medicine
- Coffee Family Medicine, PC
- Coffee Regional Medical Center
- Coffee Regional Medical Center
All providers in Douglas, GA · Developmentally Disabled Services Day Training Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2012. 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.