Organization · Type 2 NPI

Bobby Bennett Host Home

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

NPI number 1639495682 Active

Practice location

1007 Mary St
Waycross, GA 31503-3823

Call (912) 449-7111 Map

Mailing address

4156 White Tail Way
Blackshear, GA 31516-5204

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.

69 other providers at this address

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

See all in Waycross →

About NPI 1639495682

Bobby Bennett Host Home's National Provider Identifier is 1639495682, issued on Apr 15, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Waycross, GA. The record was last updated on Apr 15, 2010.