Organization · Type 2 NPI

Georgia Dept of Human Resources

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

NPI number 1912910936 Active

Practice location

170 Woodland Cir, Various Other Group Home Addresses
Milledgeville, GA 31061-2463

Call (478) 445-8182 Map

Mailing address

647 Swint Ave
Milledgeville, GA 31062-7525

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X005-01-026-9 (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 1912910936

Georgia Dept of Human Resources's National Provider Identifier is 1912910936, issued on Aug 14, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Milledgeville, GA. The record was last updated on Apr 9, 2009.