CSB OF EAST CENTRAL GA NPI 1447798707

NPI Information

NPI: 1447798707
Provider Name: CSB OF EAST CENTRAL GA

Other Name: JONES HH

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
355 BOBWHITE TRL
GROVETOWN, GA
ZIP 30813
Phone: (706) 432-4928
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CSB OF EAST CENTRAL GA is a community based residential treatment facility, intellectual and/or developmental disabilities in Grovetown, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CSB OF EAST CENTRAL GA NPI is 1447798707. The provider is registered as an organization entity type.
The provider Other Name Is Jones Hh.

The provider's business location address is:

355 BOBWHITE TRL
GROVETOWN, GA
ZIP 30813-886
Phone: (706) 432-4928
Fax: (706) 432-3861

The provider's authorized official is Heather Dubose .
The authorized official title is Residential Manager and has the following contact phone number (706) 432-4928.

The enumeration date for this NPI number is 2/7/2017 and was last updated on 2/7/2017.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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