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Stacey Ross
Child Intellectual and/or Developmental Disabilities Respite Care in Austell, Georgia
NPI 1356682629

Stacey Ross is a Child Intellectual and/or Developmental Disabilities Respite Care based in Austell, GA and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Stacey Ross practices in Austell, GA. The NPI Number for Stacey Ross is 1356682629 and holds a License No. (Georgia).

The current practice location address for Stacey Ross is 7218 Crestside Dr, Austell, GA and can be reached out via phone at 404-543-9701.

Location: 7218 Crestside Dr, Austell, GA, 30168-7022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356682629
Provider Name
Stacey Ross
Credential
Provider Entity Type
Individual
Gender
Female
Address
7218 Crestside Dr, Austell, GA, 30168-7022
Phone Number
404-543-9701
Fax Number
Provider Enumeration Date
03/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7218 Crestside Dr
City
Austell
State
Georgia
Zip
30168-7022
Phone Number
404-543-9701
Fax Number
person
Provider Business Mailing Address Details
Address
7218 Crestside Dr
City
Austell
State
Georgia
Zip
30168-7022
Phone Number
404-543-9701
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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