NPI Lookup
NPPES Search
Providers by State
Blog
Home
1457783094
PARKSIDE HOMES
MOULTRIE, GA
NPI
1457783094
Copy
Entity Type
Organization
Authorized Contact
WAYLAND SMITH SMITH
Owner
229-798-0170
Organization Subpart ?
No
Primary Taxonomy
311Z00000X Custodial Care Facility
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
PARKSIDE HOMES
119 4TH ST SW
MOULTRIE, GA 31768-4547
Phone number: 229-798-0170
Copy
Mailing Address
PARKSIDE HOMES
PO BOX 2132
MOULTRIE, GA 31776-2132
Phone number: 229-798-0170
Copy