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Carmela Smith Gray Host Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bethlehem, Georgia
NPI 1164767182

Carmela Smith Gray Host Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Athens, GA. Carmela Smith Gray Host Home practices in Bethlehem, GA. The NPI Number for Carmela Smith Gray Host Home is 1164767182 and holds a License No. (Georgia).

The current practice location address for Carmela Smith Gray Host Home is 149 Thorn Brook Rd, Bethlehem, GA and can be reached out via phone at 706-389-6789.

Location: 149 Thorn Brook Rd, Bethlehem, GA, 30601-2244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164767182
Provider Name
Carmela Smith Gray Host Home
Credential
Provider Entity Type
Organization
Address
149 Thorn Brook Rd, Bethlehem, GA, 30601-2244
Phone Number
706-389-6789
Fax Number
Provider Enumeration Date
12/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
149 Thorn Brook Rd
City
Bethlehem
State
Georgia
Zip
30620-2405
Phone Number
706-389-6789
Fax Number
person
Provider Business Mailing Address Details
Address
149 Thorn Brook Rd
City
Bethlehem
State
Georgia
Zip
30620-2405
Phone Number
706-389-6789
Fax Number
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.
()
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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