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Providence Place Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jesup, Georgia
NPI 1063132876

Providence Place Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jesup, GA. Providence Place Llc practices in Jesup, GA. The NPI Number for Providence Place Llc is 1063132876 and holds a License No. (Georgia).

The current practice location address for Providence Place Llc is 249 Joe Naia Rd, Jesup, GA and can be reached out via phone at 912-415-1313.

Location: 249 Joe Naia Rd, Jesup, GA, 31545-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063132876
Provider Name
Providence Place Llc
Credential
Provider Entity Type
Organization
Address
249 Joe Naia Rd, Jesup, GA, 31545-4112
Phone Number
912-415-1313
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
249 Joe Naia Rd
City
Jesup
State
Georgia
Zip
31545-4112
Phone Number
912-415-1313
Fax Number
person
Provider Business Mailing Address Details
Address
249 Joe Naia Rd
City
Jesup
State
Georgia
Zip
31545-4112
Phone Number
912-415-1313
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 3
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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