| Foundation Community Services, Llc | |
|
2432 Shoreline Pkwy Villa Rica GA 30180-3484 | |
| (229) 591-0194 | |
| Not Available |
| Full Name | Foundation Community Services, Llc |
|---|---|
| Speciality | Nursing Care |
| Location | 2432 Shoreline Pkwy, Villa Rica, Georgia |
| Authorized Official Name and Position | Clifton Clark (OWNER/DIRECTOR) |
| Authorized Official Contact | 2295910194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Community Services, Llc 2432 Shoreline Pkwy Villa Rica GA 30180-3484 Ph: (229) 591-0194 | Foundation Community Services, Llc 2432 Shoreline Pkwy Villa Rica GA 30180-3484 Ph: (229) 591-0194 |
| NPI Number | 1942000732 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942000732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251J00000X | Nursing Care | (* (Not Available)) | Primary |
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