Organization Name: | C.E.N.T.E.R., INC. |
NPI Number: | 1194865931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FER-RELL M MALONE (PRESIDENT) |
Mailing Address: | 2913 Albany Ave Waycross |
State: | GA US |
Postal Code: | 315030689 |
Phone Number: | 9122853800 |
Fax Number: | 9122853755 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |