Southern Group Homes, LLC
NPI #1033424171 in Ellenwood, Georgia
Provider Information
- NPI Number
- 1033424171
- Entity Type
- Organization
- Organization Name
- Southern Group Homes, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 13, 2010
- Last Updated
- Aug 13, 2010
Practice Location
Authorized Official
- Name
- JEFFREY CHARLES CHASTAIN
- Title
- OWNER
- Phone
- (864) 979-5397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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