| Camellia Group Home | |
|
311 N Grady St Blackshear GA 31516-1421 | |
| (912) 449-7111 | |
| Not Available |
| Full Name | Camellia Group Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 311 N Grady St, Blackshear, Georgia |
| Authorized Official Name and Position | Bobby Brown (CEO) |
| Authorized Official Contact | 9124497111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camellia Group Home 1007 Mary St Waycross GA 31503-3823 Ph: (912) 807-8042 | Camellia Group Home 311 N Grady St Blackshear GA 31516-1421 Ph: (912) 449-7111 |
| NPI Number | 1912272949 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912272949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CLA000908 (Georgia) | Primary |
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