Provider Demographics
NPI:1427617398
Name:REGION 13 DEPARTMENT OF FAMILY AND CHILDREN SWS
Entity type:Organization
Organization Name:REGION 13 DEPARTMENT OF FAMILY AND CHILDREN SWS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIELD OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-390-4149
Mailing Address - Street 1:95 CONSTITUTION BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-5647
Mailing Address - Country:US
Mailing Address - Phone:770-390-4149
Mailing Address - Fax:770-995-6941
Practice Address - Street 1:95 CONSTITUTION BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-5647
Practice Address - Country:US
Practice Address - Phone:770-390-4149
Practice Address - Fax:770-995-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No347E00000XTransportation ServicesTransportation Broker