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Southern Community Services Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Douglas, Georgia
NPI 1417112707

Southern Community Services Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Douglas, GA. Southern Community Services Inc practices in Douglas, GA. The NPI Number for Southern Community Services Inc is 1417112707 and holds a License No. 034-01-019-8 (Georgia).

The current practice location address for Southern Community Services Inc is 315 S. Gaskin Ave, Douglas, GA and can be reached out via phone at 912-393-3466 and via fax at 912-393-1103.

Location: 315 S. Gaskin Ave, Douglas, GA, 31533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417112707
Provider Name
Southern Community Services Inc
Credential
Provider Entity Type
Organization
Address
315 S. Gaskin Ave, Douglas, GA, 31533
Phone Number
912-393-3466
Fax Number
912-393-1103
Provider Enumeration Date
07/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
290464766A 05 GA
institution
Provider Business Practice Location Address Details
Address
315 S. Gaskin Ave
City
Douglas
State
Georgia
Zip
31533
Phone Number
912-393-3466
Fax Number
912-393-1103
person
Provider Business Mailing Address Details
Address
315 S. Gaskin Ave
City
Douglas
State
Georgia
Zip
31533
Phone Number
912-393-3466
Fax Number
912-393-1103
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
034-01-019-8 (Georgia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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