institution
Empowerment Of Divine Providence, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, Georgia
NPI 1295017382

Empowerment Of Divine Providence, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dallas, GA. Empowerment Of Divine Providence, Inc. practices in Dallas, GA. The NPI Number for Empowerment Of Divine Providence, Inc. is 1295017382 and holds a License No. (Georgia).

The current practice location address for Empowerment Of Divine Providence, Inc. is 3 Birchfield Way, Dallas, GA and can be reached out via phone at 404-285-8415.

Location: 3 Birchfield Way, Dallas, GA, 30132-0842
institution
Provider Profile Details
NPI Number
1295017382
Provider Name
Empowerment Of Divine Providence, Inc.
Credential
Provider Entity Type
Organization
Address
3 Birchfield Way, Dallas, GA, 30132-0842
Phone Number
404-285-8415
Fax Number
Provider Enumeration Date
09/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 Birchfield Way
City
State
Zip
30132-0842
Phone Number
404-285-8415
Fax Number
person
Provider Business Mailing Address Details
Address
3 Birchfield Way
City
State
Zip
30132-0842
Phone Number
404-285-8415
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
CN0030003852 (Georgia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(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 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
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.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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