Shirley Home Away from Home
Shirley Home Away from Home is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2009.
- Licensed in
- GA
- In the registry since
- 2009
Practice location Address checks out
190 Middling LnFayetteville, GA 30214-3767
Phone: (678) 557-2207
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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 056-01-011-1 (GA) |
|---|
Record details
| NPI number | 1457684482 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shirley Wilson — Administrator · (678) 557-2207 |
| NPI enumerated | September 9, 2009 |
| Last updated in NPPES | September 9, 2009 |
| Mailing address | 190 Middling Ln, Fayetteville, GA 30214-3767 |
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