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Department Of Behavioral Health And Developmental Disabilities
Intellectual Disabilities Intermediate Care Facility in Gracewood, Georgia
NPI 1699000703

Department Of Behavioral Health And Developmental Disabilities is a Intellectual Disabilities Intermediate Care Facility based in Gracewood, GA. Department Of Behavioral Health And Developmental Disabilities practices in Gracewood, GA. The NPI Number for Department Of Behavioral Health And Developmental Disabilities is 1699000703 and holds a License No. 2-121-792 (Georgia).

The current practice location address for Department Of Behavioral Health And Developmental Disabilities is 100 Myrtle Blvd, Gracewood, GA and can be reached out via phone at 706-790-2030 and via fax at 706-790-2025.

Location: 100 Myrtle Blvd, Gracewood, GA, 30812-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699000703
Provider Name
Department Of Behavioral Health And Developmental Disabilities
Credential
Provider Entity Type
Organization
Address
100 Myrtle Blvd, Gracewood, GA, 30812-1500
Phone Number
706-790-2030
Fax Number
706-790-2025
Provider Enumeration Date
10/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000141204A 05 GA
institution
Provider Business Practice Location Address Details
Address
100 Myrtle Blvd
City
Gracewood
State
Georgia
Zip
30812-1500
Phone Number
706-790-2030
Fax Number
706-790-2025
person
Provider Business Mailing Address Details
Address
100 Myrtle Blvd
City
Gracewood
State
Georgia
Zip
30812-1500
Phone Number
706-790-2030
Fax Number
706-790-2025
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2-121-792 (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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Similar Doctors in Gracewood, Georgia:

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Georgia Department Of Human Resources
NPI 1699837864
Intellectual Disabilities Intermediate Care Facility
100 Myrtle Blvd,
GRACEWOOD, GA
30812-1500
706-790-2030
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