Individual provider · Type 1 NPI
Brickney Henry
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Villa Rica, GA
Practice location
652 Nine Oaks Cir
Villa Rica, GA 30180-2533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Nursing Care Agency | 251J00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Villa Rica
About NPI 1003463449
Brickney Henry's National Provider Identifier is 1003463449, issued on Aug 21, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Villa Rica, GA. The record was last updated on Dec 18, 2020.