The House Of Refuge

NPI 1275803660 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1275803660
Enumeration Date 01/03/2012
Last Updated 01/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GLENN GLENN
Position BILLING MGR
Phone (706) 283-0319
Fax
Practice Location
112 LAKE FOREST DR
ELBERTON GA, 30635-1829, US
Phone (706) 283-0319
Fax
Business Location
250 NORTH AVE
ATHENS GA, 30601-2244, US
Phone (706) 389-6789
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, The House Of Refuge NPI is 1275803660, taxonomy code is 320600000X The House Of Refuge physically located at 112 Lake Forest Dr, Elberton GA, 30635-1829. NPI Number 1033115704 has the healthcare provider type.

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1275803660 NPI number is provided on an as is basis without warranty of any kind. 1275803660 is maintained by the National Plan & Provider Enumeration System. The contents of The House Of Refuge are for informational purposes only.