Individual provider · Type 1 NPI

Marie Alice Cedor

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

NPI number 1770869364 Active

Practice location

1948 Kelvin Dr
Lawrenceville, GA 30043-3154

Specialties and licenses

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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About NPI 1770869364

Marie Alice Cedor's National Provider Identifier is 1770869364, issued on Oct 26, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 26, 2011.