Individual provider · Type 1 NPI
Willie Mae Berry Pugh
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hephzibah, GA
Practice location
2013 Teal Court
Hephzibah, GA 30815
Mailing address
2013 Teal Ct
Hephzibah, GA 30815-7951
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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Hephzibah
About NPI 1144747437
Willie Mae Berry Pugh's National Provider Identifier is 1144747437, issued on Aug 28, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Hephzibah, GA. The record was last updated on Jul 21, 2022.