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Tonya Moyd
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Martinez, Georgia
NPI 1265860951

Tonya Moyd is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Martinez, GA. Tonya Moyd practices in Martinez, GA. The NPI Number for Tonya Moyd is 1265860951 and holds a License No. CLA002026 (Georgia).

The current practice location address for Tonya Moyd is 351 Kings Bridge Rd, Martinez, GA and can be reached out via phone at 706-339-6749.

Location: 351 Kings Bridge Rd, Martinez, GA, 30907-9616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265860951
Provider Name
Tonya Moyd
Credential
Provider Entity Type
Individual
Gender
Female
Address
351 Kings Bridge Rd, Martinez, GA, 30907-9616
Phone Number
706-339-6749
Fax Number
Provider Enumeration Date
10/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
146305913A 05 GA
146305913B 05 GA
institution
Provider Business Practice Location Address Details
Address
351 Kings Bridge Rd
City
Martinez
State
Georgia
Zip
30907-9616
Phone Number
706-339-6749
Fax Number
person
Provider Business Mailing Address Details
Address
351 Kings Bridge Rd
City
Martinez
State
Georgia
Zip
30907-9616
Phone Number
706-339-6749
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.
CLA002026 (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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