institution
Community Service Board Of East Central Georgia
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hephzibah, Georgia
NPI 1013474915

Community Service Board Of East Central Georgia is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Augusta, GA. Community Service Board Of East Central Georgia practices in Hephzibah, GA. The NPI Number for Community Service Board Of East Central Georgia is 1013474915 and holds a License No. (Georgia).

The current practice location address for Community Service Board Of East Central Georgia is 1715 Lawerence Rd, Hephzibah, GA and can be reached out via phone at 706-432-4837.

Location: 1715 Lawerence Rd, Hephzibah, GA, 30906-3815
institution
Provider Profile Details
NPI Number
1013474915
Provider Name
Community Service Board Of East Central Georgia
Credential
Provider Entity Type
Organization
Address
1715 Lawerence Rd, Hephzibah, GA, 30906-3815
Phone Number
706-432-4837
Fax Number
Provider Enumeration Date
02/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000605833AR 05 GA
institution
Provider Business Practice Location Address Details
Address
1715 Lawerence Rd
City
State
Zip
30815-4445
Phone Number
706-432-4837
Fax Number
person
Provider Business Mailing Address Details
Address
1715 Lawerence Rd
City
State
Zip
30815-4445
Phone Number
706-432-4837
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
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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