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Wonder Years Personal Care Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Conyers, Georgia
NPI 1235449893

Wonder Years Personal Care Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Conyers, GA. Wonder Years Personal Care Home practices in Conyers, GA. The NPI Number for Wonder Years Personal Care Home is 1235449893 and holds a License No. 124269217A (Georgia).

The current practice location address for Wonder Years Personal Care Home is 3321 Old Salem Rd Se, Conyers, GA and can be reached out via phone at 773-354-5040.

Location: 3321 Old Salem Rd Se, Conyers, GA, 30013-2224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235449893
Provider Name
Wonder Years Personal Care Home
Credential
Provider Entity Type
Organization
Address
3321 Old Salem Rd Se, Conyers, GA, 30013-2224
Phone Number
773-354-5040
Fax Number
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124269217A 05 GA
institution
Provider Business Practice Location Address Details
Address
3321 Old Salem Rd Se
City
Conyers
State
Georgia
Zip
30013-2224
Phone Number
773-354-5040
Fax Number
person
Provider Business Mailing Address Details
Address
3321 Old Salem Rd Se
City
Conyers
State
Georgia
Zip
30013-2224
Phone Number
773-354-5040
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.
124269217A (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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