institution
Clayton Mhddad
Respite Care in Jonesboro, Georgia
NPI 1760670467

Clayton Mhddad is a Respite Care based in Jonesboro, GA. Clayton Mhddad practices in Jonesboro, GA. The NPI Number for Clayton Mhddad is 1760670467 and holds a License No. (Georgia).

The current practice location address for Clayton Mhddad is 9698 Holly Hill Way, Jonesboro, GA and can be reached out via phone at 770-471-2971 and via fax at 770-477-9772.

Location: 9698 Holly Hill Way, Jonesboro, GA, 30236-3546
institution
Provider Profile Details
NPI Number
1760670467
Provider Name
Clayton Mhddad
Credential
Provider Entity Type
Organization
Address
9698 Holly Hill Way, Jonesboro, GA, 30236-3546
Phone Number
770-471-2971
Fax Number
770-477-9772
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00604205K 05 GA
institution
Provider Business Practice Location Address Details
Address
9698 Holly Hill Way
City
State
Zip
30238-6490
Phone Number
770-471-2971
Fax Number
770-477-9772
person
Provider Business Mailing Address Details
Address
9698 Holly Hill Way
City
State
Zip
30238-6490
Phone Number
770-471-2971
Fax Number
770-477-9772
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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