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Magnolia House Pch, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Douglas, Georgia
NPI 1053519579

Magnolia House Pch, Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Douglas, GA. Magnolia House Pch, Inc practices in Douglas, GA. The NPI Number for Magnolia House Pch, Inc is 1053519579 and holds a License No. (Georgia).

The current practice location address for Magnolia House Pch, Inc is 221 College Ave S, Douglas, GA and can be reached out via phone at 912-384-3377.

Location: 221 College Ave S, Douglas, GA, 31533-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053519579
Provider Name
Magnolia House Pch, Inc
Credential
Provider Entity Type
Organization
Address
221 College Ave S, Douglas, GA, 31533-2303
Phone Number
912-384-3377
Fax Number
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
221 College Ave S
City
Douglas
State
Georgia
Zip
31533-2303
Phone Number
912-384-3377
Fax Number
person
Provider Business Mailing Address Details
Address
221 College Ave S
City
Douglas
State
Georgia
Zip
31533-2303
Phone Number
912-384-3377
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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