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Charles Hall Host Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waycross, Georgia
NPI 1346731833

Charles Hall Host Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Waycross, GA. Charles Hall Host Home practices in Waycross, GA. The NPI Number for Charles Hall Host Home is 1346731833 and holds a License No. (Georgia).

The current practice location address for Charles Hall Host Home is 1107 Carswell Ave, Waycross, GA and can be reached out via phone at 912-449-7109.

Location: 1107 Carswell Ave, Waycross, GA, 31503-3823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346731833
Provider Name
Charles Hall Host Home
Credential
Provider Entity Type
Organization
Address
1107 Carswell Ave, Waycross, GA, 31503-3823
Phone Number
912-449-7109
Fax Number
Provider Enumeration Date
05/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1107 Carswell Ave
City
Waycross
State
Georgia
Zip
31503-4854
Phone Number
912-449-7109
Fax Number
person
Provider Business Mailing Address Details
Address
1107 Carswell Ave
City
Waycross
State
Georgia
Zip
31503-4854
Phone Number
912-449-7109
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.
()
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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