MENTAL RETARDATION WAIVER PROGRAM – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1467647875

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

MENTAL RETARDATION WAIVER PROGRAM is a healthcare provider. based in Cuthbert, Georgia. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The NPI Number for MENTAL RETARDATION WAIVER PROGRAM is 1467647875

Main info

Organization
Name
MENTAL RETARDATION WAIVER PROGRAM
NPI
1467647875
Phone
(706) 596-5583
Address
119 CLABORN ST.
Authorized Official
PERRY ALEXANDER CEO
Enumeration Date
10 September 2007
Last Update Date
13 September 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

Provider Addresses for MENTAL RETARDATION WAIVER PROGRAM

  • 119 CLABORN ST.

    CUTHBERT, GA 39840

    Phone: (706) 596-5583

    Type: Location

  • Columbus Health Department, 2100, Comer Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 319048725

    Phone: (706) 321-9606

    Fax: (706) 322-6576

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 39840)

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Frequently asked questions

What federal number belongs to MENTAL RETARDATION WAIVER PROGRAM?
The federal identifier for MENTAL RETARDATION WAIVER PROGRAM is NPI 1467647875.
Is MENTAL RETARDATION WAIVER PROGRAM currently active in the NPI registry?
CMS-published data lists MENTAL RETARDATION WAIVER PROGRAM as an active registrant.
What kind of provider is MENTAL RETARDATION WAIVER PROGRAM?
The page reflects Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility for MENTAL RETARDATION WAIVER PROGRAM. Clinical services aligned with this taxonomy classification.
What location metadata exists for MENTAL RETARDATION WAIVER PROGRAM?
The page summarizes Cuthbert, Georgia for MENTAL RETARDATION WAIVER PROGRAM; expand the address list for detail.
How can I contact MENTAL RETARDATION WAIVER PROGRAM?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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