Provider Demographics
NPI:1457412348
Name:HANCOCK COUNTY ASSOCIATION FOR RETARDED CHILDREN, INC.
Entity Type:Organization
Organization Name:HANCOCK COUNTY ASSOCIATION FOR RETARDED CHILDREN, INC.
Other - Org Name:HANCOCK COUNTY SERVICE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CENTER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIA
Authorized Official - Middle Name:ANDREWS
Authorized Official - Last Name:LIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:706-444-5989
Mailing Address - Street 1:PO BOX 417
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:GA
Mailing Address - Zip Code:31087-0417
Mailing Address - Country:US
Mailing Address - Phone:706-444-5989
Mailing Address - Fax:706-444-6333
Practice Address - Street 1:75 BOLAND CIR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:GA
Practice Address - Zip Code:31087-2007
Practice Address - Country:US
Practice Address - Phone:706-444-5989
Practice Address - Fax:706-444-6333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services