Organization · Type 2 NPI

Georgia Department of Human Resources

Intellectual Disabilities Intermediate Care Facility · Gracewood, GA

NPI number 1699837864 Active

Practice location

100 Myrtle Blvd
Gracewood, GA 30812-1500

Call (706) 790-2030 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X21211622 (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 1699837864

Georgia Department of Human Resources's National Provider Identifier is 1699837864, issued on Dec 14, 2006. 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 Aug 22, 2020.