person
Tracy Marshall
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Woodstock, Georgia
NPI 1942665567

Tracy Marshall is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Woodstock, GA. Tracy Marshall practices in Woodstock, GA. The NPI Number for Tracy Marshall is 1942665567 and holds a License No. 320900000X (Georgia).

The current practice location address for Tracy Marshall is 255 Grimes Rd, Woodstock, GA and can be reached out via phone at 678-366-6050 and via fax at 678-366-6051. You can also correspond with Tracy Marshall through the mailing address at 255 GRIMES RD, WOODSTOCK, GA - 30188-6725 (mailing address contact number: 678-366-6050).

Location: 255 Grimes Rd, Woodstock, GA, 30188-6725
person
Provider Profile Details
NPI Number
1942665567
Provider Name
Tracy Marshall
Credential
Provider Entity Type
Individual
Gender
Female
Address
255 Grimes Rd, Woodstock, GA, 30188-6725
Phone Number
678-366-6050
Fax Number
678-366-6051
Provider Enumeration Date
12/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
255 Grimes Rd
City
State
Zip
30188-6725
Phone Number
678-366-6050
Fax Number
678-366-6051
person
Provider Business Mailing Address Details
Address
255 Grimes Rd
City
State
Zip
30188-6725
Phone Number
678-366-6050
Fax Number
678-366-6051
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
320900000X (Georgia)
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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