Individual provider · Type 1 NPI
Peta-Gaye C. Pilote, RN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mcdonough, GA
Practice location
319 Regal Way E
Mcdonough, GA 30253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN249535 (GA) |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | PCH007436 (GA) |
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.
About NPI 1083196836
Peta-Gaye C. Pilote, RN's National Provider Identifier is 1083196836, issued on Aug 29, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mcdonough, GA. The record was last updated on Aug 29, 2018.