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Clayton Mhddad
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Morrow, Georgia
NPI 1942498647

Clayton Mhddad is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jonesboro, GA. Clayton Mhddad practices in Morrow, GA. The NPI Number for Clayton Mhddad is 1942498647 and holds a License No. (Georgia).

The current practice location address for Clayton Mhddad is 5800 Lillian Ln, Morrow, GA and can be reached out via phone at 404-363-2995.

Location: 5800 Lillian Ln, Morrow, GA, 30236-3563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942498647
Provider Name
Clayton Mhddad
Credential
Provider Entity Type
Organization
Address
5800 Lillian Ln, Morrow, GA, 30236-3563
Phone Number
404-363-2995
Fax Number
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00607076B 05 GA
institution
Provider Business Practice Location Address Details
Address
5800 Lillian Ln
City
Morrow
State
Georgia
Zip
30260-3965
Phone Number
404-363-2995
Fax Number
person
Provider Business Mailing Address Details
Address
5800 Lillian Ln
City
Morrow
State
Georgia
Zip
30260-3965
Phone Number
404-363-2995
Fax Number
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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