Provider Demographics
NPI:1770142309
Name:REGION 14 DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Entity type:Organization
Organization Name:REGION 14 DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNING-GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-593-7420
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-0688
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:178 SAMS ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4134
Practice Address - Country:US
Practice Address - Phone:770-593-7420
Practice Address - Fax:404-478-4356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare