Willie Colquitt Host Home
Willie Colquitt Host Home is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2016.
- Licensed in
- GA
- In the registry since
- 2016
Practice location Address checks out
1007 Mary StWaycross, GA 31503-3823
Phone: (912) 449-7109
Fax: (912) 449-7056
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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 (GA) |
|---|
Record details
| NPI number | 1780126185 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Simpson — Billing Manager · (912) 449-7109 |
| NPI enumerated | November 16, 2016 |
| Last updated in NPPES | November 16, 2016 |
| Mailing address | 950 Gus Paulk Rd, Ambrose, GA 31512-3406 |
Other providers in Waycross
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Unison Behavioral Health
1007 Mary St, Waycross, GA 31503 · (912) 449-7100
-
Unison Behavioral Health
1007 Mary St, Waycross, GA 31503-3823 · (912) 449-7109
-
Unison Behavioral Health
1007 Mary St, Waycross, GA 31503-3823 · (912) 449-7100
-
Joletha Williams
601 McDonald St, Waycross, GA 31503-4704 · (912) 283-8587