IndividualActive
Charsuede Keaton
NPI 1144733585 · Developmentally Disabled Services Day Training Agency · Bainbridge, GA
Provider details
- NPI number
- 1144733585
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
134 Lynnwood Dr
Bainbridge, GA 39819-6446
Phone: (229) 400-3735
Fax: (229) 400-3735
Approximate (ZIP-level) locationGet directions
Mailing address
134 Lynnwood Dr
Bainbridge, GA 39819-6446
Registry dates
- Enumerated
- 2017-11-07
- Last updated
- 2017-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.