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NPI Code Detail

MEDICARE: DEPARTMENT OF HUMAN SERVICES

MEDICARE: DEPARTMENT OF HUMAN SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BC3200XCustomized Equipment (DME)N/A

General Provider Information

NPI Number : 1518964949
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPARTMENT OF HUMAN SERVICES
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : WARM SPRINGS
State : GA
Zip : 31830-1000
Country : US
Telephone Number : 706-655-5598
Fax Number : 706-655-5608
Provider Business Practice Location Address
First Line : 6135 ROOSEVELT HWY
Second Line :
City : WARM SPRINGS
State : GA
Zip : 31830-2757
Country : US
Telephone Number : 706-655-5598
Fax Number : 706-655-5608
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MS. LISA M BOATWRIGHT
Credential :
Telephone Number : 706-655-5598
Provider Enumeration Date : 06/30/2005
Last Update Date : 08/07/2013

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Directions to “DEPARTMENT OF HUMAN SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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