Organization · Type 2 NPI

Renee's Personal Care Home, LLC

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

NPI number 1821392572 Active

Practice location

1916 Ohio Ave
Augusta, GA 30904-5329

Call (706) 869-0775 Map

Fax (706) 869-0775

Mailing address

PO Box 888
Evans, GA 30809-0888

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X121014201 (GA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X121014201 (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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About NPI 1821392572

Renee's Personal Care Home, LLC's National Provider Identifier is 1821392572, issued on Jan 10, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Augusta, GA. The record was last updated on Jan 10, 2011.