Organization · Type 2 NPI
Georgia Department of Human Resources
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Evans, GA
Practice location
4747 Rye Hill Ct
Evans, GA 30809-5849
Mailing address
100 Myrtle Bvd
Augusta, GA 30812-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1912074477
Georgia Department of Human Resources's National Provider Identifier is 1912074477, issued on Nov 29, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Evans, GA. The record was last updated on Aug 22, 2020.