Organization · Type 2 NPI

Shirley Home Away From Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fayetteville, GA

NPI number 1457684482 Active

Practice location

190 Middling Ln
Fayetteville, GA 30214-3767

Specialties and licenses

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 1457684482

Shirley Home Away From Home's National Provider Identifier is 1457684482, issued on Sep 9, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 9, 2009.