Provider Demographics
NPI:1912472770
Name:HOUSTON COUNTY ASSOCIATION FOR EXCEPTIONAL CITIZENS
Entity Type:Organization
Organization Name:HOUSTON COUNTY ASSOCIATION FOR EXCEPTIONAL CITIZENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR OF ADMINISTRATIO
Authorized Official - Prefix:MS
Authorized Official - First Name:LETITIA
Authorized Official - Middle Name:CARLOTTA
Authorized Official - Last Name:PEEBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-929-6613
Mailing Address - Street 1:202 N DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3348
Mailing Address - Country:US
Mailing Address - Phone:478-929-6613
Mailing Address - Fax:478-328-7001
Practice Address - Street 1:202 N DAVIS DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3348
Practice Address - Country:US
Practice Address - Phone:478-929-6613
Practice Address - Fax:478-328-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services