NPI 1407413776

Department of Family and Children Services

Organisation Lodging Provider Blakely, GA

Practice location

Address: 11860 Columbia St, Blakely, GA 39823-2577
Phone: (229) 724-2044
Fax: (229) 724-2038
Mailing address: PO Box 747, Blakely, GA 39823-0747

Authorised official

Name: Kim Mitchell
Title: Unit Manager
Phone: (229) 724-2044

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in Georgia →

Registry record

NPI: 1407413776
Entity type: Organization
NPI issued: 22 May 2019
Record last updated: 22 May 2019

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.