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Panola Care, Cla
Physical Disabilities Residential Treatment Facility in Lithonia, Georgia
NPI 1134564131

Panola Care, Cla is a Physical Disabilities Residential Treatment Facility based in Lithonia, GA. Panola Care, Cla practices in Lithonia, GA. The NPI Number for Panola Care, Cla is 1134564131 and holds a License No. (Georgia).

The current practice location address for Panola Care, Cla is 3169 Pequea Dr, Lithonia, GA and can be reached out via phone at 770-322-6810 and via fax at 770-322-6810.

Location: 3169 Pequea Dr, Lithonia, GA, 30038-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134564131
Provider Name
Panola Care, Cla
Credential
Provider Entity Type
Organization
Address
3169 Pequea Dr, Lithonia, GA, 30038-1119
Phone Number
770-322-6810
Fax Number
770-322-6810
Provider Enumeration Date
05/03/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3169 Pequea Dr
City
Lithonia
State
Georgia
Zip
30038-1119
Phone Number
770-322-6810
Fax Number
770-322-6810
person
Provider Business Mailing Address Details
Address
3169 Pequea Dr
City
Lithonia
State
Georgia
Zip
30038-1119
Phone Number
770-322-6810
Fax Number
770-322-6810
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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