Tail Winds Residential, Llc | |
2230 Ga Highway 133 S Moultrie GA 31788-1768 | |
(229) 890-2583 | |
Not Available |
Full Name | Tail Winds Residential, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2230 Ga Highway 133 S, Moultrie, Georgia |
Authorized Official Name and Position | Debra Howard (CEO/OWNER) |
Authorized Official Contact | 7605855522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tail Winds Residential, Llc 815 S Main St Moultrie GA 31768-5434 Ph: (229) 890-9001 | Tail Winds Residential, Llc 2230 Ga Highway 133 S Moultrie GA 31788-1768 Ph: (229) 890-2583 |
NPI Number | 1447016191 |
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Provider Enumeration Date | 02/21/2024 |
Last Update Date | 02/21/2024 |
Certification Date | 02/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447016191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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