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Georgia Department Of Human Resources
Intellectual Disabilities Intermediate Care Facility in Augusta, Georgia
NPI 1083782288

Georgia Department Of Human Resources is a Intellectual Disabilities Intermediate Care Facility based in Augusta, GA. Georgia Department Of Human Resources practices in Augusta, GA. The NPI Number for Georgia Department Of Human Resources is 1083782288 and holds a License No. 2121792 (Georgia).

The current practice location address for Georgia Department Of Human Resources is 100 Myrtle Blvd, Augusta, GA and can be reached out via phone at 706-790-2030.

Location: 100 Myrtle Blvd, Augusta, GA, 30812-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083782288
Provider Name
Georgia Department Of Human Resources
Credential
Provider Entity Type
Organization
Address
100 Myrtle Blvd, Augusta, GA, 30812-1500
Phone Number
706-790-2030
Fax Number
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00141204A 05 GA
institution
Provider Business Practice Location Address Details
Address
100 Myrtle Blvd
City
Augusta
State
Georgia
Zip
30812-1500
Phone Number
706-790-2030
Fax Number
person
Provider Business Mailing Address Details
Address
100 Myrtle Blvd
City
Augusta
State
Georgia
Zip
30812-1500
Phone Number
706-790-2030
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2121792 (Georgia)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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