Organization · Type 2 NPI
Panola Care, Cla
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lithonia, GA
Practice location
3169 Pequea Dr
Lithonia, GA 30038-1119
Fax (770) 322-6810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | 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.
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About NPI 1134564131
Panola Care, Cla's National Provider Identifier is 1134564131, issued on May 3, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Lithonia, GA. The record was last updated on May 3, 2013.