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Gwen Dell Robinson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Villa Rica, Georgia
NPI 1013377001

Gwen Dell Robinson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Villa Rica, GA. Gwen Dell Robinson practices in Villa Rica, GA. The NPI Number for Gwen Dell Robinson is 1013377001 and holds a License No. (Georgia).

The current practice location address for Gwen Dell Robinson is 319 Elm Dr, Villa Rica, GA and can be reached out via phone at 770-309-9333.

Location: 319 Elm Dr, Villa Rica, GA, 30180-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013377001
Provider Name
Gwen Dell Robinson
Credential
Provider Entity Type
Individual
Gender
Female
Address
319 Elm Dr, Villa Rica, GA, 30180-1913
Phone Number
770-309-9333
Fax Number
Provider Enumeration Date
03/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
319 Elm Dr
City
Villa Rica
State
Georgia
Zip
30180-1913
Phone Number
770-309-9333
Fax Number
person
Provider Business Mailing Address Details
Address
319 Elm Dr
City
Villa Rica
State
Georgia
Zip
30180-1913
Phone Number
770-309-9333
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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