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Hattie Clay Oliver Pch
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mableton, Georgia
NPI 1104194307

Hattie Clay Oliver Pch is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Mableton, GA. Hattie Clay Oliver Pch practices in Mableton, GA. The NPI Number for Hattie Clay Oliver Pch is 1104194307 and holds a License No. PCH005570 (Georgia).

The current practice location address for Hattie Clay Oliver Pch is 418 Vinings Vintage Cir, Mableton, GA and can be reached out via phone at 770-575-0582 and via fax at 404-756-4894.

Location: 418 Vinings Vintage Cir, Mableton, GA, 30126-2154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104194307
Provider Name
Hattie Clay Oliver Pch
Credential
Provider Entity Type
Organization
Address
418 Vinings Vintage Cir, Mableton, GA, 30126-2154
Phone Number
770-575-0582
Fax Number
404-756-4894
Provider Enumeration Date
12/02/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
418 Vinings Vintage Cir
City
Mableton
State
Georgia
Zip
30126-7208
Phone Number
770-575-0582
Fax Number
404-756-4894
person
Provider Business Mailing Address Details
Address
418 Vinings Vintage Cir
City
Mableton
State
Georgia
Zip
30126-7208
Phone Number
770-575-0582
Fax Number
404-756-4894
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
PCH005570 (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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
PCH005570 (Georgia)
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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