Organization · Type 2 NPI

Pam Wheeler Host Home

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

NPI number 1801231907 Active

Practice location

1007 Mary St
Waycross, GA 31503-3823

Call (912) 449-7111 Map

Fax (912) 449-7060

Mailing address

517 Cartertown Rd
Alma, GA 31510-4702

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.

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About NPI 1801231907

Pam Wheeler Host Home's National Provider Identifier is 1801231907, issued on May 2, 2013. 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 May 2, 2013.