Organization · Type 2 NPI

Positive Care Personal Care Home, Inc

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

NPI number 1730601121 Active

Practice location

210 Willis Dr
Stockbridge, GA 30281-7272

Call (770) 507-0123 Map

Fax (770) 507-7021

Other practice locations

212 Willis Dr, Stockbridge, GA 30281-7272 · (770) 507-0123

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	075-R-0350 (GA)

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.

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NPI record

NPI: 1730601121
Entity type: Organization (Type 2)
Issued: Jul 7, 2017
Last updated: Oct 12, 2020
Status: Active

Other names

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Positive Care Private Home Care, Inc · doing business as
Positive Care Private Home Care, Inc · doing business as
Robert R. Williams Center for Veteran Rehabilitation and Aid · doing business as

Authorized official

Ms. Mary L Williams
Executive Director
(678) 467-1087

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About NPI 1730601121

Positive Care Personal Care Home, Inc's National Provider Identifier is 1730601121, issued on Jul 7, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Stockbridge, GA. The record was last updated on Oct 12, 2020.