Provider Demographics
NPI:1730544859
Name:THE HABERSHAM COUNTY SENIOR CENTER
Entity type:Organization
Organization Name:THE HABERSHAM COUNTY SENIOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-839-0260
Mailing Address - Street 1:217 SCOGGINS DR
Mailing Address - Street 2:
Mailing Address - City:DEMOREST
Mailing Address - State:GA
Mailing Address - Zip Code:30535-5355
Mailing Address - Country:US
Mailing Address - Phone:706-839-0260
Mailing Address - Fax:706-839-0269
Practice Address - Street 1:217 SCOGGINS DR
Practice Address - Street 2:
Practice Address - City:DEMOREST
Practice Address - State:GA
Practice Address - Zip Code:30535-5355
Practice Address - Country:US
Practice Address - Phone:706-839-0260
Practice Address - Fax:706-839-0269
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HABERSHAM COUNTY BOARD OF COMMISSIONERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals