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Marie Alice Cedor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lawrenceville, Georgia
NPI 1770869364

Marie Alice Cedor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lawrenceville, GA. Marie Alice Cedor practices in Lawrenceville, GA. The NPI Number for Marie Alice Cedor is 1770869364 and holds a License No. (Georgia).

The current practice location address for Marie Alice Cedor is 1948 Kelvin Dr, Lawrenceville, GA and can be reached out via phone at 770-237-2865.

Location: 1948 Kelvin Dr, Lawrenceville, GA, 30043-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770869364
Provider Name
Marie Alice Cedor
Credential
Provider Entity Type
Individual
Gender
Female
Address
1948 Kelvin Dr, Lawrenceville, GA, 30043-3154
Phone Number
770-237-2865
Fax Number
Provider Enumeration Date
10/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1948 Kelvin Dr
City
Lawrenceville
State
Georgia
Zip
30043-3154
Phone Number
770-237-2865
Fax Number
person
Provider Business Mailing Address Details
Address
1948 Kelvin Dr
City
Lawrenceville
State
Georgia
Zip
30043-3154
Phone Number
770-237-2865
Fax Number
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.
()
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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