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Community Care Home Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jonesboro, Georgia
NPI 1134420516

Community Care Home Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Morrow, GA. Community Care Home Inc. practices in Jonesboro, GA. The NPI Number for Community Care Home Inc. is 1134420516 and holds a License No. 060013141 (Georgia).

The current practice location address for Community Care Home Inc. is 659 Wilmont Dr, Jonesboro, GA and can be reached out via phone at 404-375-3655 and via fax at 404-209-8131.

Location: 659 Wilmont Dr, Jonesboro, GA, 30260-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134420516
Provider Name
Community Care Home Inc.
Credential
Provider Entity Type
Organization
Address
659 Wilmont Dr, Jonesboro, GA, 30260-3313
Phone Number
404-375-3655
Fax Number
404-209-8131
Provider Enumeration Date
11/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
659 Wilmont Dr
City
Jonesboro
State
Georgia
Zip
30238-4834
Phone Number
404-375-3655
Fax Number
404-209-8131
person
Provider Business Mailing Address Details
Address
659 Wilmont Dr
City
Jonesboro
State
Georgia
Zip
30238-4834
Phone Number
404-375-3655
Fax Number
404-209-8131
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.
060013141 (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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