Individual provider · Type 1 NPI
Earlean Blackwell
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Marietta, GA
Practice location
1865 Waldrep Cir SE
Marietta, GA 30060-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1023677713
Earlean Blackwell's National Provider Identifier is 1023677713, issued on Jun 6, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Marietta, GA. The record was last updated on Jun 6, 2019.