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Emerald Isles Pch, Inc
Assisted Living Facility (Behavioral Disturbances) in Marietta, Georgia
NPI 1821260217

Emerald Isles Pch, Inc is an Assisted Living Facility (Behavioral Disturbances) based in Marietta, GA and is specialized in Assisted Living, Behavioral Disturbances. Emerald Isles Pch, Inc practices in Marietta, GA. The NPI Number for Emerald Isles Pch, Inc is 1821260217 and holds a License No. (Georgia).

The current practice location address for Emerald Isles Pch, Inc is 1402 Shadowbrook Dr, Marietta, GA and can be reached out via phone at 770-509-0533.

Location: 1402 Shadowbrook Dr, Marietta, GA, 30062-4032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821260217
Provider Name
Emerald Isles Pch, Inc
Credential
Provider Entity Type
Organization
Address
1402 Shadowbrook Dr, Marietta, GA, 30062-4032
Phone Number
770-509-0533
Fax Number
Provider Enumeration Date
03/26/2008
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
088 05 GA
244 05 GA
institution
Provider Business Practice Location Address Details
Address
1402 Shadowbrook Dr
City
Marietta
State
Georgia
Zip
30062-4032
Phone Number
770-509-0533
Fax Number
person
Provider Business Mailing Address Details
Address
1402 Shadowbrook Dr
City
Marietta
State
Georgia
Zip
30062-4032
Phone Number
770-509-0533
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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