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Elizabeth Smith
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Monroe, Georgia
NPI 1821492034

Elizabeth Smith is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Athens, GA. Elizabeth Smith practices in Monroe, GA. The NPI Number for Elizabeth Smith is 1821492034 and holds a License No. (Georgia).

The current practice location address for Elizabeth Smith is 1227 Dale Dr, Monroe, GA and can be reached out via phone at 706-389-6790 and via fax at 706-389-6760.

Location: 1227 Dale Dr, Monroe, GA, 30601-2244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821492034
Provider Name
Elizabeth Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1227 Dale Dr, Monroe, GA, 30601-2244
Phone Number
706-389-6790
Fax Number
706-389-6760
Provider Enumeration Date
10/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1227 Dale Dr
City
Monroe
State
Georgia
Zip
30656-3500
Phone Number
706-389-6790
Fax Number
706-389-6760
person
Provider Business Mailing Address Details
Address
1227 Dale Dr
City
Monroe
State
Georgia
Zip
30656-3500
Phone Number
706-389-6790
Fax Number
706-389-6760
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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