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Bobby Bennett Host Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waycross, Georgia
NPI 1639495682

Bobby Bennett Host Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Blackshear, GA. Bobby Bennett Host Home practices in Waycross, GA. The NPI Number for Bobby Bennett Host Home is 1639495682 and holds a License No. (Georgia).

The current practice location address for Bobby Bennett Host Home is 1007 Mary St, Waycross, GA and can be reached out via phone at 912-449-7111.

Location: 1007 Mary St, Waycross, GA, 31516-5204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639495682
Provider Name
Bobby Bennett Host Home
Credential
Provider Entity Type
Organization
Address
1007 Mary St, Waycross, GA, 31516-5204
Phone Number
912-449-7111
Fax Number
Provider Enumeration Date
04/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1007 Mary St
City
Waycross
State
Georgia
Zip
31503-3823
Phone Number
912-449-7111
Fax Number
person
Provider Business Mailing Address Details
Address
1007 Mary St
City
Waycross
State
Georgia
Zip
31503-3823
Phone Number
912-449-7111
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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