NPI 1780797084

Georgia Dept of Human Resources

Organisation Intellectual Disabilities Intermediate Care Facility Milledgeville, GA

Practice location

Address: 451 Boland Cir, Milledgeville, GA 31062-7525
Phone: (478) 445-4128

Authorised official

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

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Georgia →

Registry record

NPI: 1780797084
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.