Exquisite Traditions
Exquisite Traditions is a Physical Disabilities Residential Treatment Facility in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2011.
- Licensed in
- GA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
7265 Mount Zion BlvdJonesboro, GA 30236-2519
Phone: (404) 525-9500
Fax: (404) 393-9436
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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 · Licence PCH001261 (GA) |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X · Licence PCH001261 (GA) |
Record details
| NPI number | 1558657494 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Ballif — Ceo · (404) 525-9500 |
| NPI enumerated | June 20, 2011 |
| Last updated in NPPES | June 20, 2011 |
| Mailing address | 2045 Mount Zion Rd, Suite 397, Morrow, GA 30260-3313 |