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11D2123869 CLIA NUMBER - PHOENIX HEALTH CENTER WTRS RESIDENTIAL

Laboratory Demographics

CLIA Number: 11D2123869

Facility Name: PHOENIX HEALTH CENTER WTRS RESIDENTIAL

Facility Address:
127 SOUTH SIXTH STREET
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 988-1002

Facility Type: Other - DBHDD CSB

Certificate Type: Waiver
NPI Number: 1518435676

Taxonomy: 251B00000X - Case Management
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

CLIA Record

Field Name Field Value
CLIA Number 11D2123869
LAB Type Other - DBHDD CSB
Facility Name PHOENIX HEALTH CENTER WTRS RESIDENTIAL
Street 127 SOUTH SIXTH STREET
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 988-1002
CertificateType 4
CertificateEffectiveDate 1/5/2023
CertificateExpirationDate 1/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024