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Pam Wheeler Host Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waycross, Georgia
NPI 1801231907

Pam Wheeler Host Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Alma, GA. Pam Wheeler Host Home practices in Waycross, GA. The NPI Number for Pam Wheeler Host Home is 1801231907 and holds a License No. (Georgia).

The current practice location address for Pam Wheeler Host Home is 1007 Mary St, Waycross, GA and can be reached out via phone at 912-449-7111 and via fax at 912-449-7060. You can also correspond with Pam Wheeler Host Home through the mailing address at 517 CARTERTOWN RD, ALMA, GA - 31510-4702 (mailing address contact number: ).

Location: 1007 Mary St, Waycross, GA, 31510-4702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801231907
Provider Name
Pam Wheeler Host Home
Credential
Provider Entity Type
Organization
Address
1007 Mary St, Waycross, GA, 31510-4702
Phone Number
912-449-7111
Fax Number
912-449-7060
Provider Enumeration Date
05/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1007 Mary St
City
Waycross
State
Georgia
Zip
31503-3823
Phone Number
912-449-7111
Fax Number
912-449-7060
person
Provider Business Mailing Address Details
Address
1007 Mary St
City
Waycross
State
Georgia
Zip
31503-3823
Phone Number
912-449-7111
Fax Number
912-449-7060
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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