Organization · Type 2 NPI

Community Care Home Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jonesboro, GA

NPI number 1134420516 Active

Practice location

659 Wilmont Dr
Jonesboro, GA 30238-4834

Call (404) 375-3655 Map

Fax (404) 209-8131

Mailing address

2045 Mount Zion Rd # 373
Morrow, GA 30260-3313

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X060013141 (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.

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About NPI 1134420516

Community Care Home Inc.'s National Provider Identifier is 1134420516, issued on Nov 16, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jonesboro, GA. The record was last updated on May 24, 2012.