First Option Services

NPI 1720428717 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1720428717
Enumeration Date 07/05/2013
Last Updated 07/05/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JACQUELINE JACQUELINE
Position OWNER/DIRECTOR
Phone (678) 327-6878
Fax
Practice Location
928 HIGHWAY 314
FAYETTEVILLE GA, 30214-3404, US
Phone (678) 327-6878
Fax
Business Location
928 HIGHWAY 314
FAYETTEVILLE GA, 30214-3404, US
Phone (678) 327-6878
Fax
Toxanomy
Taxonomy Code 320900000X
License State Georgia
License Number 056010222
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According to our database, First Option Services NPI is 1720428717, taxonomy code is 320900000X and license number is 056010222, license state is located at Georgia. First Option Services physically located at 928 Highway 314, Fayetteville GA, 30214-3404. NPI Number 1033115704 has the healthcare provider type.

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1720428717 NPI number is provided on an as is basis without warranty of any kind. 1720428717 is maintained by the National Plan & Provider Enumeration System. The contents of First Option Services are for informational purposes only.