OrganizationActive
Georgia Department of Human Resources
NPI 1699837864 · Intellectual Disabilities Intermediate Care Facility · Gracewood, GA
Provider details
- NPI number
- 1699837864
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gail Jackson, Regional Hospital Administrator(706) 790-2030
- License
- 21211622 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
100 Myrtle Blvd
Gracewood, GA 30812-1500
Phone: (706) 790-2030
Approximate (ZIP-level) locationGet directions
Mailing address
100 Myrtle Blvd
Gracewood, GA 30812-1500
Other names (DBA / former)
- Doing business as
- East Central Developmental System
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.