Organization · Type 2 NPI
My Fathers Estate, LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stockbridge, GA
Practice location
1928 Flat Rock Rd
Stockbridge, GA 30281-2039
Fax (770) 474-3904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 075010578 (GA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 075010578 (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.
About NPI 1265733299
My Fathers Estate, LLC's National Provider Identifier is 1265733299, issued on Nov 8, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Stockbridge, GA. The record was last updated on Nov 8, 2010.