Organization · Type 2 NPI

Georgia Department of Human Resources

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

NPI number 1568530798 Active

Practice location

3533 Stafford St
Hephzibah, GA 30815-6625

Call (706) 790-2034 Map

Mailing address

100 Myrtle Blvd
Gracewood, GA 30812-1500

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

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.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Hephzibah

See all in Hephzibah →

About NPI 1568530798

Georgia Department of Human Resources's National Provider Identifier is 1568530798, issued on Dec 4, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hephzibah, GA. The record was last updated on Aug 22, 2020.