Stacey Ross

Individual provider Child Intellectual and/or Developmental Disabilities Respite Care · NPI 1356682629

Stacey Ross is a Child Intellectual and/or Developmental Disabilities Respite Care in Austell, Georgia. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since: 2013

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Practice location Address checks out

7218 Crestside Dr
Austell, GA 30168-7022
Phone: (404) 543-9701

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Specialties & licences

Child Intellectual and/or Developmental Disabilities Respite Care (primary)	Taxonomy 385HR2060X

Record details

NPI number	1356682629
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	March 11, 2013
Last updated in NPPES	March 11, 2013
Mailing address	7218 Crestside Dr, Austell, GA 30168-7022