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FIRST BORN OUTREACH CENTER INC NPI 1962557637


NPI Information

NPI: 1962557637
Provider Name: FIRST BORN OUTREACH CENTER INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1000 ML KING JR DR
FORT VALLEY, GA
ZIP 31030
Phone: (478) 825-7011
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FIRST BORN OUTREACH CENTER INC is an assisted living facility in Fort Valley, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FIRST BORN OUTREACH CENTER INC NPI is 1962557637. The provider is registered as an organization entity type.

The provider's business location address is:

1000 ML KING JR DR
FORT VALLEY, GA
ZIP 31030-246
Phone: (478) 825-7011
Fax: (478) 825-8851

The provider's authorized official is Essie Dennis .
The authorized official title is Administrator and has the following contact phone number (478) 825-5119.

The enumeration date for this NPI number is 1/24/2007 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
1310400000XAssisted Living FacilityGEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.