Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moultrie I Enterprises, LLC

Organization Assisted Living Facility · NPI 1881915338

Moultrie I Enterprises, LLC is an Assisted Living Facility in Moultrie, Georgia. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 Veterans Pkwy S
Moultrie, GA 31788-7762
Phone: (229) 890-3342
Fax: (229) 891-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1881915338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Blake — Managing Member · (817) 348-8841
Other names Park Regency Of Moultrie
NPI enumeratedJune 18, 2010
Last updated in NPPESJune 18, 2010
Mailing address3000 Veterans Pkwy S, Moultrie, GA 31788-7762

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