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Smith Personal Care Home 1and 2 Inc
Intellectual Disabilities Intermediate Care Facility in Swainsboro, Georgia
NPI 1639441421

Smith Personal Care Home 1and 2 Inc is a Intellectual Disabilities Intermediate Care Facility based in Swainsboro, GA. Smith Personal Care Home 1and 2 Inc practices in Swainsboro, GA. The NPI Number for Smith Personal Care Home 1and 2 Inc is 1639441421 and holds a License No. 053010771 (Georgia).

The current practice location address for Smith Personal Care Home 1and 2 Inc is 309 Advance St, Swainsboro, GA and can be reached out via phone at 478-237-2123 and via fax at 478-237-2129.

Location: 309 Advance St, Swainsboro, GA, 30401-3675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639441421
Provider Name
Smith Personal Care Home 1and 2 Inc
Credential
Provider Entity Type
Organization
Address
309 Advance St, Swainsboro, GA, 30401-3675
Phone Number
478-237-2123
Fax Number
478-237-2129
Provider Enumeration Date
02/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
467317926A 05 GA
institution
Provider Business Practice Location Address Details
Address
309 Advance St
City
Swainsboro
State
Georgia
Zip
30401-3675
Phone Number
478-237-2123
Fax Number
478-237-2129
person
Provider Business Mailing Address Details
Address
309 Advance St
City
Swainsboro
State
Georgia
Zip
30401-3675
Phone Number
478-237-2123
Fax Number
478-237-2129
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
053010771 (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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