institution
Peaceful River Residential Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbus, Georgia
NPI 1093175283

Peaceful River Residential Services is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Columbus, GA. Peaceful River Residential Services practices in Columbus, GA. The NPI Number for Peaceful River Residential Services is 1093175283 and holds a License No. CLA001207 (Georgia).

The current practice location address for Peaceful River Residential Services is 746 Rudgate Rd, Columbus, GA and can be reached out via phone at 706-571-8859 and via fax at 706-243-6357.

Location: 746 Rudgate Rd, Columbus, GA, 31904-2929
institution
Provider Profile Details
NPI Number
1093175283
Provider Name
Peaceful River Residential Services
Credential
Provider Entity Type
Organization
Address
746 Rudgate Rd, Columbus, GA, 31904-2929
Phone Number
706-571-8859
Fax Number
706-243-6357
Provider Enumeration Date
03/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003136088A 05 GA
institution
Provider Business Practice Location Address Details
Address
746 Rudgate Rd
City
State
Zip
31904-2929
Phone Number
706-571-8859
Fax Number
706-243-6357
person
Provider Business Mailing Address Details
Address
746 Rudgate Rd
City
State
Zip
31904-2929
Phone Number
706-571-8859
Fax Number
706-243-6357
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
CLA001207 (Georgia)
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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