Organization · Type 2 NPI
Empowerment of Divine Providence, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dallas, GA
Practice location
3 Birchfield Way
Dallas, GA 30132-0842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | CN0030003852 (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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Dallas
About NPI 1295017382
Empowerment of Divine Providence, Inc.'s National Provider Identifier is 1295017382, issued on Sep 14, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dallas, GA. The record was last updated on Oct 31, 2014.