OrganizationActive
Medical Supplies (comp)
NPI 1386911220 · Developmental Disabilities Clinic/Center · Albany, GA
Provider details
- NPI number
- 1386911220
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Baranko, Cfo(229) 430-0416
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1120 W Broad Ave Ste C6
Albany, GA 31707-4386
Phone: (229) 430-0416
Approximate (ZIP-level) locationGet directions
Mailing address
1120 W Broad Ave Ste C6
Albany, GA 31707-4386
Registry dates
- Enumerated
- 2011-11-21
- Last updated
- 2011-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.