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Main Street Residential Living
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Thomaston, Georgia
NPI 1568974285

Main Street Residential Living is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Peachtree City, GA. Main Street Residential Living practices in Thomaston, GA. The NPI Number for Main Street Residential Living is 1568974285 and holds a License No. (Georgia).

The current practice location address for Main Street Residential Living is 615 W Main St, Thomaston, GA and can be reached out via phone at 912-658-9238.

Location: 615 W Main St, Thomaston, GA, 30269-7469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568974285
Provider Name
Main Street Residential Living
Credential
Provider Entity Type
Organization
Address
615 W Main St, Thomaston, GA, 30269-7469
Phone Number
912-658-9238
Fax Number
Provider Enumeration Date
11/03/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 W Main St
City
Thomaston
State
Georgia
Zip
30286-3580
Phone Number
912-658-9238
Fax Number
person
Provider Business Mailing Address Details
Address
615 W Main St
City
Thomaston
State
Georgia
Zip
30286-3580
Phone Number
912-658-9238
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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