Provider Demographics
NPI:1467143610
Name:MURRAY COUNTY DEVELOPMENTAL CENTER, INC.
Entity Type:Organization
Organization Name:MURRAY COUNTY DEVELOPMENTAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-695-4571
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30705-0368
Mailing Address - Country:US
Mailing Address - Phone:706-695-4571
Mailing Address - Fax:
Practice Address - Street 1:735 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-2363
Practice Address - Country:US
Practice Address - Phone:706-695-4571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services