institution
Butler-bowden Personal Care Home, Inc
Intellectual Disabilities Intermediate Care Facility in Stone Mountain, Georgia
NPI 1740404037

Butler-bowden Personal Care Home, Inc is a Intellectual Disabilities Intermediate Care Facility based in Stone Mountain, GA. Butler-bowden Personal Care Home, Inc practices in Stone Mountain, GA. The NPI Number for Butler-bowden Personal Care Home, Inc is 1740404037 and holds a License No. 044-01-294-2 (Georgia).

The current practice location address for Butler-bowden Personal Care Home, Inc is 694 Leighton Way, Stone Mountain, GA and can be reached out via phone at 770-498-6381 and via fax at 770-413-9447. You can also correspond with Butler-bowden Personal Care Home, Inc through the mailing address at 694 LEIGHTON WAY, STONE MOUNTAIN, GA - 30088-1829 (mailing address contact number: 770-498-6381).

Location: 694 Leighton Way, Stone Mountain, GA, 30088-1829
institution
Provider Profile Details
NPI Number
1740404037
Provider Name
Butler-bowden Personal Care Home, Inc
Credential
Provider Entity Type
Organization
Address
694 Leighton Way, Stone Mountain, GA, 30088-1829
Phone Number
770-498-6381
Fax Number
770-413-9447
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000917056A 05 GA
000917056B 05 GA
institution
Provider Business Practice Location Address Details
Address
694 Leighton Way
City
State
Zip
30088-1829
Phone Number
770-498-6381
Fax Number
770-413-9447
person
Provider Business Mailing Address Details
Address
694 Leighton Way
City
State
Zip
30088-1829
Phone Number
770-498-6381
Fax Number
770-413-9447
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
044-01-294-2 (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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