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Easter Seals Southern Georgia Inc.
Child Intellectual and/or Developmental Disabilities Respite Care in Albany, Georgia
NPI 1124085451

Easter Seals Southern Georgia Inc. is a Child Intellectual and/or Developmental Disabilities Respite Care based in Albany, GA and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Easter Seals Southern Georgia Inc. practices in Albany, GA. The NPI Number for Easter Seals Southern Georgia Inc. is 1124085451 and holds a License No. 047-R-0011 (Georgia).

The current practice location address for Easter Seals Southern Georgia Inc. is 1906 Palmyra Rd, Albany, GA and can be reached out via phone at 229-439-7061 and via fax at 229-439-2824. You can also correspond with Easter Seals Southern Georgia Inc. through the mailing address at 1906 PALMYRA RD, ALBANY, GA - 31701-1575 (mailing address contact number: 229-439-7061).

Location: 1906 Palmyra Rd, Albany, GA, 31701-1575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124085451
Provider Name
Easter Seals Southern Georgia Inc.
Credential
Provider Entity Type
Organization
Address
1906 Palmyra Rd, Albany, GA, 31701-1575
Phone Number
229-439-7061
Fax Number
229-439-2824
Provider Enumeration Date
04/28/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000551405AW 05 GA
000551405BG 05 GA
000551405BN 05 GA
000693844O 05 GA
000551405AZ 05 GA
000551405BA 05 GA
000551405BM 05 GA
000693844C 05 GA
000551405AK 05 GA
000551405AX 05 GA
000551405BB 05 GA
000551405BE 05 GA
000551405BL 05 GA
000551405BO 05 GA
000551405AY 05 GA
000693844N 05 GA
000693844W 05 GA
000551405BC 05 GA
000551405D 05 GA
000639844T 05 GA
000693844V 05 GA
000551405A 05 GA
000551405F 05 GA
000551405J 05 GA
000693844Q 05 GA
000551405BF 05 GA
000551405BH 05 GA
000693844S 05 GA
000693844X 05 GA
000520528A 05 GA
000551405AI 05 GA
000551405BI 05 GA
000693844B 05 GA
institution
Provider Business Practice Location Address Details
Address
1906 Palmyra Rd
City
Albany
State
Georgia
Zip
31701-1575
Phone Number
229-439-7061
Fax Number
229-439-2824
person
Provider Business Mailing Address Details
Address
1906 Palmyra Rd
City
Albany
State
Georgia
Zip
31701-1575
Phone Number
229-439-7061
Fax Number
229-439-2824
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
047-R-011 (Georgia)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
047-R-0011 (Georgia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
047-R-0011 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
047-R-0011 (Georgia)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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