Organization · Type 2 NPI
Southerland Clark Enterprises LLC
Child Intellectual and/or Developmental Disabilities Respite Care · Harlem, GA
Practice location
315 N. Louisville St.
Harlem, GA 30814
Mailing address
PO Box 854
Harlem, GA 30814-0854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Another provider at this address
About NPI 1538539093
Southerland Clark Enterprises LLC's National Provider Identifier is 1538539093, issued on Sep 28, 2015. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Harlem, GA. The record was last updated on Oct 27, 2015.