Chauncy Montgomery
Chauncy Montgomery is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2010.
- Licensed in
- GA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1114 Jr Rollins RdVidalia, GA 30474-9462
Phone: (912) 537-4143
Fax: (912) 537-4143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (GA) |
|---|---|
| Respite Care | Taxonomy 385H00000X (GA) |
Record details
| NPI number | 1790094241 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chauncy Montgomery — Owner/Director · (912) 347-2399 |
| Other names | The Secret Place |
| NPI enumerated | October 1, 2010 |
| Last updated in NPPES | October 1, 2010 |
| Mailing address | 1114 Jr Rollins Rd, Vidalia, GA 30474-9462 |
Other providers in Vidalia
-
E & I Helping Hands Personal Care Home Inc
506 Grand St, Vidalia, GA 30474-4024 · (912) 536-3898