| Twin Oaks Living Communities | |
|
887 Th Tippett Rd Vidalia GA 30474-9773 | |
| (770) 550-1084 | |
| (912) 537-0825 |
| Full Name | Twin Oaks Living Communities |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 887 Th Tippett Rd, Vidalia, Georgia |
| Authorized Official Name and Position | Lesha Blount (CEO) |
| Authorized Official Contact | 7705501084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Oaks Living Communities 111 Pine St W Vidalia GA 30474-3114 Ph: (770) 550-1084 | Twin Oaks Living Communities 887 Th Tippett Rd Vidalia GA 30474-9773 Ph: (770) 550-1084 |
| NPI Number | 1164813168 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164813168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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