Provider Demographics
NPI:1538931829
Name:DOUGLAS COUNTY DISABILITIES COALITION, INC.
Entity type:Organization
Organization Name:DOUGLAS COUNTY DISABILITIES COALITION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-402-4711
Mailing Address - Street 1:3801 FALLS TRL
Mailing Address - Street 2:
Mailing Address - City:WINSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30187-2227
Mailing Address - Country:US
Mailing Address - Phone:770-402-4711
Mailing Address - Fax:
Practice Address - Street 1:3801 FALLS TRL
Practice Address - Street 2:
Practice Address - City:WINSTON
Practice Address - State:GA
Practice Address - Zip Code:30187-2227
Practice Address - Country:US
Practice Address - Phone:770-402-4711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care