GEORGIA DEPARTMENT OF HUMAN RESOURCES NPI 1083782288

NPI Information

GEORGIA DEPARTMENT OF HUMAN RESOURCES is an intermediate care facility mentally retarded in Augusta, GA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GEORGIA DEPARTMENT OF HUMAN RESOURCES NPI is 1083782288. The provider is registered as an organization entity type.
The provider Is Doing Business As Ecrh-gracewood Developmental Center.

The provider's business location address is:

100 MYRTLE BLVD
AUGUSTA, GA
ZIP 30812-500
Phone: (706) 790-2030

The provider's authorized official is Gail C Jackson .
The authorized official title is Regional Hospital Administrator and has the following contact phone number (706) 790-2030.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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