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Rosa Lee Adams
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Augusta, Georgia
NPI 1518233576

Rosa Lee Adams is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Augusta, GA. Rosa Lee Adams practices in Augusta, GA. The NPI Number for Rosa Lee Adams is 1518233576 and holds a License No. 055132176 (Georgia).

The current practice location address for Rosa Lee Adams is 3421 Mike Padgett Hwy, Augusta, GA and can be reached out via phone at 706-432-7893 and via fax at 706-432-3780.

Location: 3421 Mike Padgett Hwy, Augusta, GA, 30906-3815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518233576
Provider Name
Rosa Lee Adams
Credential
Provider Entity Type
Individual
Gender
Female
Address
3421 Mike Padgett Hwy, Augusta, GA, 30906-3815
Phone Number
706-432-7893
Fax Number
706-432-3780
Provider Enumeration Date
03/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000606317B 05 GA
institution
Provider Business Practice Location Address Details
Address
3421 Mike Padgett Hwy
City
Augusta
State
Georgia
Zip
30906-3815
Phone Number
706-432-7893
Fax Number
706-432-3780
person
Provider Business Mailing Address Details
Address
3421 Mike Padgett Hwy
City
Augusta
State
Georgia
Zip
30906-3815
Phone Number
706-432-7893
Fax Number
706-432-3780
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.
055132176 (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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