BEN HILL MENTAL RETARDATION SERVICE NPI 1740498153

NPI Information

  • NPI: 1740498153
  • Provider Name: BEN HILL MENTAL RETARDATION SERVICE
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: THE JESSAMINE PLACE
  • Address: 402 S MAIN ST
    FITZGERALD, GA
    ZIP 31750
  • Phone: (229) 426-5205

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NPI Details

BEN HILL MENTAL RETARDATION SERVICE is a day training developmentally disabled services in Fitzgerald, GA. The provider is 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. BEN HILL MENTAL RETARDATION SERVICE NPI is 1740498153. The provider is registered as an organization entity type.
The provider Is Doing Business As The Jessamine Place.

The provider's business location address is:

402 S MAIN ST
FITZGERALD, GA
ZIP 31750-361
Phone: (229) 426-5205
Fax: (229) 426-5208

The provider's authorized official is Shirley B Brooks .
The authorized official title is Director and has the following contact phone number (229) 426-5205.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

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This page was last updated on: 11/21/2025

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