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Georgia Dept of Human Resources — NPI 1871606178, Milledgeville, GA | NPI Central

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NPI 1871606178

OrganizationActive

Georgia Dept of Human Resources

NPI 1871606178 · Intellectual Disabilities Intermediate Care Facility · Milledgeville, GA

Provider details

NPI number: 1871606178
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Marvin Bailey, Regional Hospital Administrator(478) 445-4128

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

451 Boland Cir

Milledgeville, GA 31062-7525

Phone: (478) 445-4128

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

451 Boland Cir

Milledgeville, GA 31062-7525

Other names (DBA / former)

Doing business as: Pecan Manor III

Registry dates

Enumerated: 2006-08-17
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.