Panola Care, Cla
Panola Care, Cla is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lithonia, Georgia. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
3169 Pequea DrLithonia, GA 30038-1119
Phone: (770) 322-6810
Fax: (770) 322-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X |
Record details
| NPI number | 1134564131 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Tavares — Director · (770) 322-6810 |
| NPI enumerated | May 3, 2013 |
| Last updated in NPPES | May 3, 2013 |
| Mailing address | 3169 Pequea Dr, Lithonia, GA 30038-1119 |
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