Easter Seals Southern Georgia Inc.
Community Based Residential Treatment, Mental Retardation And/or Developmental Disabilities
1906 Palmyra Rd, Albany
Georgia, 31701-1575
229-439-7061 229-439-2824
Easter Seals Southern Georgia Inc. is a Community Based Residential Treatment, Mental Retardation And/or Developmental Disabilities in Albany, Georgia. It is located at 1906 Palmyra Rd, Albany and it's customer support contact number is 229-439-7061. The authorized person of Easter Seals Southern Georgia Inc. is Matt Hatcher who is Coo of this DME and his contact number is 229-439-7061. Active license number of Easter Seals Southern Georgia Inc. is 047-R-0011 for Community Based Residential Treatment, Mental Retardation And/or Developmental Disabilities in Georgia.
Easter Seals Southern Georgia Inc. is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
DME Supplier Details:
Easter Seals Southern Georgia Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Easter Seals Southern Georgia Inc. |
| Type: | Community Based Residential Treatment, Mental Retardation And/or Developmental Disabilities |
| Location: | 1906 Palmyra Rd, Albany,
Georgia, 31701-1575 |
| Phone: | 229-439-7061 |
| Fax: | 229-439-2824 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Matt Hatcher |
| Position: | Coo |
| Contact Number: | 229-439-7061 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1124085451 |
| NPI Enumeration Date: | 28 Apr, 2006 |
| NPI Last Update On: | 24 Jan, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Easter Seals Southern Georgia Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community Based Residential Treatment, Mental Retardation And/or Developmental Disabilities | 047-R-0011 | Georgia | Primary | |
| Day Training, Developmentally Disabled Services | 047-R-0011 | Georgia | Secondary | |
| Durable Medical Equipment & Medical Supplies | 047-R-0011 | Georgia | Secondary | |
| Respite Care, Mental Retardation and/or Developmental Disabilities, Child | 047-R-011 | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000551405AW | Medicaid | Georgia | |
| 000551405BG | Medicaid | Georgia | |
| 000551405BN | Medicaid | Georgia | |
| 000693844O | Medicaid | Georgia | |
| 000551405AZ | Medicaid | Georgia | |
| 000551405BA | Medicaid | Georgia | |
| 000551405BM | Medicaid | Georgia | |
| 000693844C | Medicaid | Georgia | |
| 000551405AK | Medicaid | Georgia | |
| 000551405AX | Medicaid | Georgia | |
| 000551405BB | Medicaid | Georgia | |
| 000551405BE | Medicaid | Georgia | |
| 000551405BL | Medicaid | Georgia | |
| 000551405BO | Medicaid | Georgia | |
| 000551405AY | Medicaid | Georgia | |
| 000693844N | Medicaid | Georgia | |
| 000693844W | Medicaid | Georgia | |
| 000551405BC | Medicaid | Georgia | |
| 000551405D | Medicaid | Georgia | |
| 000639844T | Medicaid | Georgia | |
| 000693844V | Medicaid | Georgia | |
| 000551405A | Medicaid | Georgia | |
| 000551405F | Medicaid | Georgia | |
| 000551405J | Medicaid | Georgia | |
| 000693844Q | Medicaid | Georgia | |
| 000551405BF | Medicaid | Georgia | |
| 000551405BH | Medicaid | Georgia | |
| 000693844S | Medicaid | Georgia | |
| 000693844X | Medicaid | Georgia | |
| 000520528A | Medicaid | Georgia | |
| 000551405AI | Medicaid | Georgia | |
| 000551405BI | Medicaid | Georgia | |
| 000693844B | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1906 Palmyra Rd,
Albany, Georgia |
| Zip: | 31701-1575 |
| Phone Number: | 229-439-7061 |
| Fax Number: | 229-439-2824 |
Patients can reach Easter Seals Southern Georgia Inc. at
1906 Palmyra Rd, Albany, Georgia or can
call on customer care at 229-439-7061.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.