Organization Name: | OCONEE CENTER |
NPI Number: | 1255400545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHEREE S APPLEBURY (RN) |
Mailing Address: | 830 W Charlton St Milledgeville |
State: | GA US |
Postal Code: | 310612606 |
Phone Number: | 4784455908 |
Fax Number: | 4784455902 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 005-R-0004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |