| NPI | 1902121809 |
|---|---|
| Former Legal Business Name | MCDOUGLE PERSONAL CARE HOME INC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA E MCDOUGLE CEO 229-269-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: GA 372083530A) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2019-01-10 |