NPI age
19 years
Enumerated 2006-08-17
● Active Type 2 · Organization
Georgia Dept Of Human Resources
Georgia Dept Of Human Resources is 1 of 35 intermediate care facility, intellectual disabilities organizations in Georgia.
Primary specialty
Intermediate Care Facility, Intellectual Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bailey
Regional Hospital Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 35 active intermediate care facility, intellectual disabilities providers in Georgia.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
451 Boland Cir
Milledgeville, GA 310627525
Mailing address
451 Boland Cir
Milledgeville, GA 310627525
Authorized official
Marvin Bailey
Regional Hospital Administrator
📞 4784454128
Specialties
-
Intermediate Care Facility, Intellectual Disabilities PrimaryAn intermediate care facility providing services for individuals with intellectual disabilities.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00142403A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pecan Manor III
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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