NPI 1073626347

Georgia Dept of Human Resources

Organisation Mental Illness Intermediate Care Facility Milledgeville, GA

Practice location

Address: 189 Boone Cir, Milledgeville, GA 31062-7525
Phone: (478) 445-4128

Authorised official

Name: Marvin Bailey
Title: Regional Hospital Administrator
Phone: (478) 445-4128

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Georgia →

Registry record

NPI: 1073626347
Entity type: Organization
NPI issued: 17 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.