NPI 1346627460

Kenneth B Walker Residential Home INC

Organisation Mental Illness Community Based Residential Treatment Facility Columbus, GA

Practice location

Address: 3575 Macon Rd Suite 25, Columbus, GA 31907-8200
Phone: (706) 940-0478
Fax: (706) 940-0479

Authorised official

Name: Timothy Crumbley
Title: Chief Executive Officer
Phone: (706) 681-1991

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Georgia →

Registry record

NPI: 1346627460
Entity type: Organization
NPI issued: 27 Apr 2015
Record last updated: 28 Apr 2015

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.