institution
Jimmy's Magnolia Tree Inc
Developmentally Disabled Services Day Training Agency in Atlanta, Georgia
NPI 1699101147

Jimmy's Magnolia Tree Inc is a Developmentally Disabled Services Day Training Agency based in Atlanta, GA. Jimmy's Magnolia Tree Inc practices in Atlanta, GA. The NPI Number for Jimmy's Magnolia Tree Inc is 1699101147 and holds a License No. CLA001050 (Georgia).

The current practice location address for Jimmy's Magnolia Tree Inc is 1526 Westwood Ave Sw, Atlanta, GA and can be reached out via phone at 404-748-9276 and via fax at 404-941-7929. You can also correspond with Jimmy's Magnolia Tree Inc through the mailing address at 1526 WESTWOOD AVE SW, ATLANTA, GA - 30310-2316 (mailing address contact number: 404-748-9276).

Location: 1526 Westwood Ave Sw, Atlanta, GA, 30310-2316
institution
Provider Profile Details
NPI Number
1699101147
Provider Name
Jimmy's Magnolia Tree Inc
Credential
Provider Entity Type
Organization
Address
1526 Westwood Ave Sw, Atlanta, GA, 30310-2316
Phone Number
404-748-9276
Fax Number
404-941-7929
Provider Enumeration Date
09/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
972175212A 01 GA COMP WAVIER
institution
Provider Business Practice Location Address Details
Address
1526 Westwood Ave Sw
City
State
Zip
30310-2316
Phone Number
404-748-9276
Fax Number
404-941-7929
person
Provider Business Mailing Address Details
Address
1526 Westwood Ave Sw
City
State
Zip
30310-2316
Phone Number
404-748-9276
Fax Number
404-941-7929
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
CLA001050 (Georgia)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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