Carmela Smith Gray Host Home

NPI 1164767182 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1164767182
Enumeration Date 12/03/2012
Last Updated 12/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GLENN GLENN
Position BILLING MGR
Phone (706) 389-6789
Fax
Practice Location
149 THORN BROOK RD
BETHLEHEM GA, 30620-2405, US
Phone (706) 389-6789
Fax
Business Location
250 NORTH AVE
ATHENS GA, 30601-2244, US
Phone
Fax
Toxanomy
Taxonomy Code 320900000X
License State
License Number
Remove 1164767182 NPI Number
 

According to our database, Carmela Smith Gray Host Home NPI is 1164767182, taxonomy code is 320900000X Carmela Smith Gray Host Home physically located at 149 Thorn Brook Rd, Bethlehem GA, 30620-2405. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1164767182 NPI number is provided on an as is basis without warranty of any kind. 1164767182 is maintained by the National Plan & Provider Enumeration System. The contents of Carmela Smith Gray Host Home are for informational purposes only.