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Mary Loretta House, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Suwanee, Georgia
NPI 1396037420

Mary Loretta House, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Suwanee, GA. Mary Loretta House, Llc practices in Suwanee, GA. The NPI Number for Mary Loretta House, Llc is 1396037420 and holds a License No. 09081085 (Georgia).

The current practice location address for Mary Loretta House, Llc is 2133 Lawrenceville Suwanee Rd, Suwanee, GA and can be reached out via phone at 678-390-2682.

Location: 2133 Lawrenceville Suwanee Rd, Suwanee, GA, 30024-2648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396037420
Provider Name
Mary Loretta House, Llc
Credential
Provider Entity Type
Organization
Address
2133 Lawrenceville Suwanee Rd, Suwanee, GA, 30024-2648
Phone Number
678-390-2682
Fax Number
Provider Enumeration Date
05/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2133 Lawrenceville Suwanee Rd
City
Suwanee
State
Georgia
Zip
30024-2648
Phone Number
678-390-2682
Fax Number
person
Provider Business Mailing Address Details
Address
2133 Lawrenceville Suwanee Rd
City
Suwanee
State
Georgia
Zip
30024-2648
Phone Number
678-390-2682
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
09081085 (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.
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