Avalonia Group Homes, Inc.
NPI #1073699617 in Marietta, South Carolina
Provider Information
- NPI Number
- 1073699617
- Entity Type
- Organization
- Organization Name
- Avalonia Group Homes, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Jan 12, 2009
Practice Location
- Address
- 213 HART CUT RD
- City
- Marietta
- State
- South Carolina
- ZIP Code
- 29661-9687
- Phone
- (864) 836-7220
Authorized Official
- Name
- MR. JOHN M. SHORT
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (864) 836-7220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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