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Allegiant Service Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Decatur, Georgia
NPI 1316279557

Allegiant Service Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Decatur, GA. Allegiant Service Llc practices in Decatur, GA. The NPI Number for Allegiant Service Llc is 1316279557 and holds a License No. 126168557A (Georgia).

The current practice location address for Allegiant Service Llc is 4323 Juneberry Ct, Decatur, GA and can be reached out via phone at 678-491-6215 and via fax at 770-558-1580.

Location: 4323 Juneberry Ct, Decatur, GA, 30034-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316279557
Provider Name
Allegiant Service Llc
Credential
Provider Entity Type
Organization
Address
4323 Juneberry Ct, Decatur, GA, 30034-6425
Phone Number
678-491-6215
Fax Number
770-558-1580
Provider Enumeration Date
02/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4323 Juneberry Ct
City
Decatur
State
Georgia
Zip
30034-6425
Phone Number
678-491-6215
Fax Number
770-558-1580
person
Provider Business Mailing Address Details
Address
4323 Juneberry Ct
City
Decatur
State
Georgia
Zip
30034-6425
Phone Number
678-491-6215
Fax Number
770-558-1580
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.
126168557A (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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