Provider Demographics
NPI:1619095098
Name:CITY OF GAINESVILLE
Entity Type:Organization
Organization Name:CITY OF GAINESVILLE
Other - Org Name:COMMUNITY SERVICE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-503-3334
Mailing Address - Street 1:430 PRIOR ST SE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3402
Mailing Address - Country:US
Mailing Address - Phone:770-503-3330
Mailing Address - Fax:770-503-3344
Practice Address - Street 1:430 PRIOR ST SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3402
Practice Address - Country:US
Practice Address - Phone:770-503-3330
Practice Address - Fax:770-503-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA133NN1002X133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty