OrganizationActive
Mount Eagles Wings Inc
NPI 1104182864 · Developmental Disabilities Clinic/Center · Martinez, GA
Provider details
- NPI number
- 1104182864
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Venna Reese, Ceo/Administrator
Mailing address
4027 Prescott Dr
Martinez, GA 30907-4308
Registry dates
- Enumerated
- 2012-04-07
- Last updated
- 2012-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.