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Mental Retardation Waiver Program
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cuthbert, Georgia
NPI 1467647875

Mental Retardation Waiver Program is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbus, GA. Mental Retardation Waiver Program practices in Cuthbert, GA. The NPI Number for Mental Retardation Waiver Program is 1467647875 and holds a License No. (Georgia).

The current practice location address for Mental Retardation Waiver Program is 119 Claborn St., Cuthbert, GA and can be reached out via phone at 706-596-5583.

Location: 119 Claborn St., Cuthbert, GA, 31904-8725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467647875
Provider Name
Mental Retardation Waiver Program
Credential
Provider Entity Type
Organization
Address
119 Claborn St., Cuthbert, GA, 31904-8725
Phone Number
706-596-5583
Fax Number
Provider Enumeration Date
09/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
119 Claborn St.
City
Cuthbert
State
Georgia
Zip
39840
Phone Number
706-596-5583
Fax Number
person
Provider Business Mailing Address Details
Address
119 Claborn St.
City
Cuthbert
State
Georgia
Zip
39840
Phone Number
706-596-5583
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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