institution
Mental Retardation Waiver Program Muscogee
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbus, Georgia
NPI 1750576807

Mental Retardation Waiver Program Muscogee is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbus, GA. Mental Retardation Waiver Program Muscogee practices in Columbus, GA. The NPI Number for Mental Retardation Waiver Program Muscogee is 1750576807 and holds a License No. (Georgia).

The current practice location address for Mental Retardation Waiver Program Muscogee is 2401 Buena Vista Rd, Columbus, GA and can be reached out via phone at 706-596-5583 and via fax at 706-596-5589.

Location: 2401 Buena Vista Rd, Columbus, GA, 31904-8725
institution
Provider Profile Details
NPI Number
1750576807
Provider Name
Mental Retardation Waiver Program Muscogee
Credential
Provider Entity Type
Organization
Address
2401 Buena Vista Rd, Columbus, GA, 31904-8725
Phone Number
706-596-5583
Fax Number
706-596-5589
Provider Enumeration Date
09/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 Buena Vista Rd
City
State
Zip
31906-3142
Phone Number
706-596-5583
Fax Number
706-596-5589
person
Provider Business Mailing Address Details
Address
2401 Buena Vista Rd
City
State
Zip
31906-3142
Phone Number
706-596-5583
Fax Number
706-596-5589
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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