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Shirley Home Away From Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Riverdale, Georgia
NPI 1023341062

Shirley Home Away From Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Riverdale, GA. Shirley Home Away From Home practices in Riverdale, GA. The NPI Number for Shirley Home Away From Home is 1023341062 and holds a License No. (Georgia).

The current practice location address for Shirley Home Away From Home is 8412 Red Cedar Way, Riverdale, GA and can be reached out via phone at 678-557-2207.

Location: 8412 Red Cedar Way, Riverdale, GA, 30274-4562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023341062
Provider Name
Shirley Home Away From Home
Credential
Provider Entity Type
Organization
Address
8412 Red Cedar Way, Riverdale, GA, 30274-4562
Phone Number
678-557-2207
Fax Number
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
155482054A 05 GA
institution
Provider Business Practice Location Address Details
Address
8412 Red Cedar Way
City
Riverdale
State
Georgia
Zip
30274-4562
Phone Number
678-557-2207
Fax Number
person
Provider Business Mailing Address Details
Address
8412 Red Cedar Way
City
Riverdale
State
Georgia
Zip
30274-4562
Phone Number
678-557-2207
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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