Hattie Clay Oliver Pch
Hattie Clay Oliver Pch is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mableton, 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
418 Vinings Vintage CirMableton, GA 30126-7208
Phone: (770) 575-0582
Fax: (404) 756-4894
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence PCH005570 (GA) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence PCH005570 (GA) |
Record details
| NPI number | 1104194307 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Ford — Ceo · (770) 575-0582 |
| NPI enumerated | December 2, 2011 |
| Last updated in NPPES | December 6, 2011 |
| Mailing address | 1180 Madison Green Ln Sw, Mableton, GA 30126-2154 |
Other providers in Mableton
-
Celestial Care Services, Inc
6571 Valley Hill Dr SW, Mableton, GA 30126-5151 · (770) 948-0709