Organization · Type 2 NPI
Crown Personal Care Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jonesboro, GA
Practice location
891 Stormy Ln
Jonesboro, GA 30238-5984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 031-01-246-1 (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 1407159585
Crown Personal Care Home's National Provider Identifier is 1407159585, issued on Dec 13, 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 Dec 13, 2010.