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Sheryl Levette Harris
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fayetteville, Georgia
NPI 1710027883

Sheryl Levette Harris is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fayetteville, GA. Sheryl Levette Harris practices in Fayetteville, GA. The NPI Number for Sheryl Levette Harris is 1710027883 and holds a License No. (Georgia).

The current practice location address for Sheryl Levette Harris is 140 Carrollwood Dr, Fayetteville, GA and can be reached out via phone at 770-716-7990 and via fax at 770-716-7955.

Location: 140 Carrollwood Dr, Fayetteville, GA, 30215-5445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710027883
Provider Name
Sheryl Levette Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
140 Carrollwood Dr, Fayetteville, GA, 30215-5445
Phone Number
770-716-7990
Fax Number
770-716-7955
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000977501E 05 GA
institution
Provider Business Practice Location Address Details
Address
140 Carrollwood Dr
City
Fayetteville
State
Georgia
Zip
30215-5445
Phone Number
770-716-7990
Fax Number
770-716-7955
person
Provider Business Mailing Address Details
Address
140 Carrollwood Dr
City
Fayetteville
State
Georgia
Zip
30215-5445
Phone Number
770-716-7990
Fax Number
770-716-7955
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.
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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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