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My Fathers Estate, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stockbridge, Georgia
NPI 1265733299

My Fathers Estate, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Stockbridge, GA. My Fathers Estate, Llc practices in Stockbridge, GA. The NPI Number for My Fathers Estate, Llc is 1265733299 and holds a License No. 075010578 (Georgia).

The current practice location address for My Fathers Estate, Llc is 1928 Flat Rock Rd, Stockbridge, GA and can be reached out via phone at 770-356-2479 and via fax at 770-474-3904.

Location: 1928 Flat Rock Rd, Stockbridge, GA, 30281-2039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265733299
Provider Name
My Fathers Estate, Llc
Credential
Provider Entity Type
Organization
Address
1928 Flat Rock Rd, Stockbridge, GA, 30281-2039
Phone Number
770-356-2479
Fax Number
770-474-3904
Provider Enumeration Date
11/08/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1928 Flat Rock Rd
City
Stockbridge
State
Georgia
Zip
30281-2039
Phone Number
770-356-2479
Fax Number
770-474-3904
person
Provider Business Mailing Address Details
Address
1928 Flat Rock Rd
City
Stockbridge
State
Georgia
Zip
30281-2039
Phone Number
770-356-2479
Fax Number
770-474-3904
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
075010578 (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.
075010578 (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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