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Crown Personal Care Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jonesboro, Georgia
NPI 1407159585

Crown Personal Care Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jonesboro, GA. Crown Personal Care Home practices in Jonesboro, GA. The NPI Number for Crown Personal Care Home is 1407159585 and holds a License No. 031-01-246-1 (Georgia).

The current practice location address for Crown Personal Care Home is 891 Stormy Ln, Jonesboro, GA and can be reached out via phone at 678-216-1618.

Location: 891 Stormy Ln, Jonesboro, GA, 30238-5984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407159585
Provider Name
Crown Personal Care Home
Credential
Provider Entity Type
Organization
Address
891 Stormy Ln, Jonesboro, GA, 30238-5984
Phone Number
678-216-1618
Fax Number
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
891 Stormy Ln
City
Jonesboro
State
Georgia
Zip
30238-5984
Phone Number
678-216-1618
Fax Number
person
Provider Business Mailing Address Details
Address
891 Stormy Ln
City
Jonesboro
State
Georgia
Zip
30238-5984
Phone Number
678-216-1618
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.
031-01-246-1 (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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