NPI 1558612374

Care Wind Place, INC

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Macon, GA

Practice location

Address: 2895 Jordan Ave, Macon, GA 31217-4919
Phone: (478) 390-1172
Fax: (478) 330-6692

Authorised official

Name: Tracy Lynette Thompson
Title: Director
Phone: (478) 390-1172

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X Licence CLA 000754 (GA)

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Registry record

NPI: 1558612374
Entity type: Organization
NPI issued: 20 Sep 2012
Record last updated: 20 Sep 2012

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.