Organization · Type 2 NPI
Moore, Sharlene's Personal Care Home, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bainbridge, GA
Practice location
1401 Belcher Lane
Bainbridge, GA 39818-8327
Fax (229) 248-8614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | CLA001018 (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.
About NPI 1811248842
Moore, Sharlene's Personal Care Home, Inc.'s National Provider Identifier is 1811248842, issued on Oct 1, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bainbridge, GA. The record was last updated on Oct 1, 2012.