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Miss Jos Pch
Intellectual Disabilities Intermediate Care Facility in Waycross, Georgia
NPI 1598090581

Miss Jos Pch is a Intellectual Disabilities Intermediate Care Facility based in Waycross, GA. Miss Jos Pch practices in Waycross, GA. The NPI Number for Miss Jos Pch is 1598090581 and holds a License No. (Georgia).

The current practice location address for Miss Jos Pch is 601 Mcdonald St, Waycross, GA and can be reached out via phone at 912-283-8587 and via fax at 912-283-4581.

Location: 601 Mcdonald St, Waycross, GA, 31503-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598090581
Provider Name
Miss Jos Pch
Credential
Provider Entity Type
Organization
Address
601 Mcdonald St, Waycross, GA, 31503-4704
Phone Number
912-283-8587
Fax Number
912-283-4581
Provider Enumeration Date
10/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 Mcdonald St
City
Waycross
State
Georgia
Zip
31503-4704
Phone Number
912-283-8587
Fax Number
912-283-4581
person
Provider Business Mailing Address Details
Address
601 Mcdonald St
City
Waycross
State
Georgia
Zip
31503-4704
Phone Number
912-283-8587
Fax Number
912-283-4581
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(Georgia)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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