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Moreland Personal Care Home Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marietta, Georgia
NPI 1902022429

Moreland Personal Care Home Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Marietta, GA. Moreland Personal Care Home Inc. practices in Marietta, GA. The NPI Number for Moreland Personal Care Home Inc. is 1902022429 and holds a License No. (Georgia).

The current practice location address for Moreland Personal Care Home Inc. is 2670 Owens Ave Sw, Marietta, GA and can be reached out via phone at 770-222-1774 and via fax at 678-921-9571.

Location: 2670 Owens Ave Sw, Marietta, GA, 30064-4266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902022429
Provider Name
Moreland Personal Care Home Inc.
Credential
Provider Entity Type
Organization
Address
2670 Owens Ave Sw, Marietta, GA, 30064-4266
Phone Number
770-222-1774
Fax Number
678-921-9571
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00938033A 05 GA
institution
Provider Business Practice Location Address Details
Address
2670 Owens Ave Sw
City
Marietta
State
Georgia
Zip
30064-4266
Phone Number
770-222-1774
Fax Number
678-921-9571
person
Provider Business Mailing Address Details
Address
2670 Owens Ave Sw
City
Marietta
State
Georgia
Zip
30064-4266
Phone Number
770-222-1774
Fax Number
678-921-9571
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.
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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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