Southern Community Services Inc in Douglas - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Southern Community Services Inc - NPI 1417112707
Southern Community Services Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Douglas, Georgia. Southern Community Services Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Southern Community Services Inc is 1417112707. The last update date is 2008-07-25.
Southern Community Services Inc's current location address is 315 S. Gaskin Ave, Douglas, Georgia. You can contact this provider via phone number 9123933466 and fax number 9123931103. The mailing address for Southern Community Services Inc is 315 S. Gaskin Ave, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Community Services Inc |
|---|---|
| Address | 315 S. Gaskin Ave, Douglas, Georgia |
| Phone Number | 9123933466 |
| Fax Number | 9123931103 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Moore Lisa |
| Telephone Number | 9123933466 |
NPI Number Detail
| NPI Number | 1417112707 |
|---|---|
| Provider Enumeration Date | 2008-07-25 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 315 S. Gaskin Ave |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 31533 |
| Phone Number | 9123933466 |
| Fax Number | 9123931103 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 034-01-019-8 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290464766A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southern Community Services Inc by the Centers for Medicare & Medicaid Services?
The Southern Community Services Inc has been issued the NPI (National Provider Identifier) 1417112707. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Southern Community Services Inc's facilities are situated?
The facilities of Southern Community Services Inc are physically located at the following address: 315 S. Gaskin Ave, Douglas, GA, 31533.
What is Southern Community Services Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southern Community Services Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date was the 1417112707 assigned to Southern Community Services Inc?
The Southern Community Services Inc was issued its 1417112707 on 2008-07-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Southern Community Services Inc most recently updated or refreshed?
The details pertaining to the Southern Community Services Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-25.
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