Organization · Type 2 NPI

Exquisite Traditions

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

NPI number 1558657494 Active

Practice location

7265 Mount Zion Blvd
Jonesboro, GA 30236-2519

Call (404) 525-9500 Map

Fax (404) 393-9436

Mailing address

2045 Mount Zion Rd, Suite 397
Morrow, GA 30260-3313

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility 320700000XPCH001261 (GA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XPCH001261 (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 1558657494

Exquisite Traditions's National Provider Identifier is 1558657494, issued on Jun 20, 2011. 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 Jun 20, 2011.