Organization · Type 2 NPI

Department of Behavioral Health and Developmental Disabilities

Intellectual Disabilities Intermediate Care Facility · Gracewood, GA

NPI number 1699000703 Active

Practice location

100 Myrtle Blvd
Gracewood, GA 30812-1500

Call (706) 790-2030 Map

Fax (706) 790-2025

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X2-121-792 (GA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

17 other providers at this address

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About NPI 1699000703

Department of Behavioral Health and Developmental Disabilities's National Provider Identifier is 1699000703, issued on Oct 7, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gracewood, GA. The record was last updated on May 20, 2015.