NPI 1871978965

Lookout Mountain Community Services

Organisation Mental Illness Intermediate Care Facility Fort Oglethorpe, GA

Practice location

Address: 1875 Fant Dr, Fort Oglethorpe, GA 30742-3307
Phone: (706) 861-3387

Authorised official

Name: Carla Myers
Title: Clinican
Phone: (706) 861-3387

Registered specialties (2)

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence LPN090474 (GA)

Other Intermediate Care Facility, Mental Illness providers in Georgia →

Mental Illness Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 86290 (TN)

Registry record

NPI: 1871978965
Entity type: Organization
NPI issued: 30 Jul 2015
Record last updated: 30 Jul 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.