Organization · Type 2 NPI
Hattie Clay Oliver PCH
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Mableton, GA
Practice location
418 Vinings Vintage Cir
Mableton, GA 30126-7208
Fax (404) 756-4894
Mailing address
1180 Madison Green Ln SW
Mableton, GA 30126-2154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | PCH005570 (GA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | PCH005570 (GA) |
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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Mableton
About NPI 1104194307
Hattie Clay Oliver PCH's National Provider Identifier is 1104194307, issued on Dec 2, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Mableton, GA. The record was last updated on Dec 6, 2011.