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Magnolia Gardens Pch, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stone Mountain, Georgia
NPI 1912138454

Magnolia Gardens Pch, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lovejoy, GA. Magnolia Gardens Pch, Inc practices in Stone Mountain, GA. The NPI Number for Magnolia Gardens Pch, Inc is 1912138454 and holds a License No. (Georgia).

The current practice location address for Magnolia Gardens Pch, Inc is 5348 Kelleys Creek Dr, Stone Mountain, GA and can be reached out via phone at 770-469-8925 and via fax at 770-469-8925. You can also correspond with Magnolia Gardens Pch, Inc through the mailing address at PO BOX 684, LOVEJOY, GA - 30250-0684 (mailing address contact number: 770-469-8925).

Location: 5348 Kelleys Creek Dr, Stone Mountain, GA, 30250-0684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912138454
Provider Name
Magnolia Gardens Pch, Inc
Credential
Provider Entity Type
Organization
Address
5348 Kelleys Creek Dr, Stone Mountain, GA, 30250-0684
Phone Number
770-469-8925
Fax Number
770-469-8925
Provider Enumeration Date
07/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
256949895B 05 GA
institution
Provider Business Practice Location Address Details
Address
5348 Kelleys Creek Dr
City
Stone Mountain
State
Georgia
Zip
30088-3827
Phone Number
770-469-8925
Fax Number
770-469-8925
person
Provider Business Mailing Address Details
Address
5348 Kelleys Creek Dr
City
Stone Mountain
State
Georgia
Zip
30088-3827
Phone Number
770-469-8925
Fax Number
770-469-8925
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
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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