Willie Colquitt Host Home - Waycross, GA

Willie Colquitt Host Home

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waycross, Georgia

NPI 1780126185

Willie Colquitt Host Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Ambrose, GA. Willie Colquitt Host Home practices in Waycross, GA. The NPI Number for Willie Colquitt Host Home is 1780126185 and holds a License No. (Georgia).

The current practice location address for Willie Colquitt Host Home is 1007 Mary St, Waycross, GA and can be reached out via phone at 912-449-7109 and via fax at 912-449-7056.

Location: 1007 Mary St, Waycross, GA, 31512-3406

NPI Number

1780126185

Provider Name

Willie Colquitt Host Home

Credential

Provider Entity Type

Organization

Address

1007 Mary St, Waycross, GA, 31512-3406

Phone Number

912-449-7109

Fax Number

912-449-7056

Provider Enumeration Date

11/16/2016

Last Update Date

03/09/2024

Address

1007 Mary St

City

Waycross

State

Georgia

Zip

31503-3823

Phone Number

912-449-7109

Fax Number

912-449-7056

Address

1007 Mary St

City

Waycross

State

Georgia

Zip

31503-3823

Phone Number

912-449-7109

Fax Number

912-449-7056

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320600000X

License No.

(Georgia)

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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