Organization · Type 2 NPI
Carpenter Host Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Douglas, GA
Practice location
806 Grady Ave N
Douglas, GA 31533-4812
Mailing address
1007 Mary St
Waycross, GA 31503-3823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Douglas
About NPI 1629535216
Carpenter Host Home's National Provider Identifier is 1629535216, issued on Mar 1, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Douglas, GA. The record was last updated on Mar 1, 2019.