Shirley Home Away From Home
NPI #1023341062 in Riverdale, Georgia
Provider Information
- NPI Number
- 1023341062
- Entity Type
- Organization
- Organization Name
- Shirley Home Away From Home
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 9, 2009
- Last Updated
- Sep 9, 2009
Practice Location
Authorized Official
- Name
- SHIRLEY WILSON
- Title
- ADMINISTOR
- Phone
- (678) 557-2207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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