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Hickory Log Vocational School Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in White, Georgia
NPI 1790385862

Hickory Log Vocational School Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in White, GA. Hickory Log Vocational School Inc practices in White, GA. The NPI Number for Hickory Log Vocational School Inc is 1790385862 and holds a License No. (Georgia).

The current practice location address for Hickory Log Vocational School Inc is 3680 Highway 411 Ne, White, GA and can be reached out via phone at 770-382-6655.

Location: 3680 Highway 411 Ne, White, GA, 30184-2427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790385862
Provider Name
Hickory Log Vocational School Inc
Credential
Provider Entity Type
Organization
Address
3680 Highway 411 Ne, White, GA, 30184-2427
Phone Number
770-382-6655
Fax Number
Provider Enumeration Date
10/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3680 Highway 411 Ne
City
White
State
Georgia
Zip
30184-2427
Phone Number
770-382-6655
Fax Number
person
Provider Business Mailing Address Details
Address
3680 Highway 411 Ne
City
White
State
Georgia
Zip
30184-2427
Phone Number
770-382-6655
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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