Provider Demographics
NPI:1780913053
Name:RONALD MCDONALD HOUSE CHARITIES OF CENTRAL GEORGIA
Entity type:Organization
Organization Name:RONALD MCDONALD HOUSE CHARITIES OF CENTRAL GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-746-4090
Mailing Address - Street 1:1160 FORSYTH ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-1736
Mailing Address - Country:US
Mailing Address - Phone:478-746-4090
Mailing Address - Fax:478-746-0580
Practice Address - Street 1:1160 FORSYTH ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-1736
Practice Address - Country:US
Practice Address - Phone:478-746-4090
Practice Address - Fax:478-746-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable