Whalio Doctors

NPI 1558632968

Americanwork, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Hephzibah, GA

Practice location

Address
3533 Stafford St, Hephzibah, GA 30815-6625
Phone
(706) 790-8694
Mailing address
PO Box 20664, St Simons Island, GA 31522-0264

Authorised official

Name
William Kenneth Whiddon
Title
Coo
Phone
(912) 638-0350

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence CLA000694 P (GA)

Registry record

NPI
1558632968
Entity type
Organization
NPI issued
17 Jan 2012
Record last updated
17 Jan 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.