Organization · Type 2 NPI
Melindas Guardian Angel Personal Care Home
Mental Illness Community Based Residential Treatment Facility · Statham, GA
NPI number
1841504511
Active
Practice location
593 Eighth St
Statham, GA 30666-1830
Fax (678) 963-2761
Mailing address
1301 Dianne Way
Winder, GA 30680-5621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 007010311 (GA) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1841504511
Melindas Guardian Angel Personal Care Home's National Provider Identifier is 1841504511, issued on Aug 4, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Statham, GA. The record was last updated on Aug 4, 2010.