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institution
Chestnut Manor, Inc.
Child Intellectual and/or Developmental Disabilities Respite Care in Lithia Springs, Georgia
NPI 1386921336

Chestnut Manor, Inc. is a Child Intellectual and/or Developmental Disabilities Respite Care based in Lithia Springs, GA and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Chestnut Manor, Inc. practices in Lithia Springs, GA. The NPI Number for Chestnut Manor, Inc. is 1386921336 and holds a License No. 12040 (Georgia).

The current practice location address for Chestnut Manor, Inc. is 8673 Chestnut Ln, Lithia Springs, GA and can be reached out via phone at 770-920-9369.

Location: 8673 Chestnut Ln, Lithia Springs, GA, 30122-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386921336
Provider Name
Chestnut Manor, Inc.
Credential
Provider Entity Type
Organization
Address
8673 Chestnut Ln, Lithia Springs, GA, 30122-3410
Phone Number
770-920-9369
Fax Number
Provider Enumeration Date
11/04/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
8673 Chestnut Ln
City
Lithia Springs
State
Georgia
Zip
30122-3410
Phone Number
770-920-9369
Fax Number
person
Provider Business Mailing Address Details
Address
8673 Chestnut Ln
City
Lithia Springs
State
Georgia
Zip
30122-3410
Phone Number
770-920-9369
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
12040 (Georgia)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
12040 (Georgia)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
12040 (Georgia)
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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