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Deriche Agency Inc
Developmentally Disabled Services Day Training Agency in Kennesaw, Georgia
NPI 1487983227

Deriche Agency Inc is a Developmentally Disabled Services Day Training Agency based in Kennesaw, GA. Deriche Agency Inc practices in Kennesaw, GA. The NPI Number for Deriche Agency Inc is 1487983227 and holds a License No. (Georgia).

The current practice location address for Deriche Agency Inc is 3175 Cherokee St Nw, Kennesaw, GA and can be reached out via phone at 678-490-3761 and via fax at 678-601-6445.

Location: 3175 Cherokee St Nw, Kennesaw, GA, 30144-2829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487983227
Provider Name
Deriche Agency Inc
Credential
Provider Entity Type
Organization
Address
3175 Cherokee St Nw, Kennesaw, GA, 30144-2829
Phone Number
678-490-3761
Fax Number
678-601-6445
Provider Enumeration Date
12/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
271472802A 05 GA
institution
Provider Business Practice Location Address Details
Address
3175 Cherokee St Nw
City
Kennesaw
State
Georgia
Zip
30144-2829
Phone Number
678-490-3761
Fax Number
678-601-6445
person
Provider Business Mailing Address Details
Address
3175 Cherokee St Nw
City
Kennesaw
State
Georgia
Zip
30144-2829
Phone Number
678-490-3761
Fax Number
678-601-6445
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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