Terrell's Personal Care Home, INC

NPI #1083996292 in Bogart, Georgia

Provider Information

NPI Number
1083996292
Entity Type
Organization
Organization Name
Terrell's Personal Care Home, INC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Sep 13, 2011
Last Updated
Sep 13, 2011

Practice Location

Address
5100 ATLANTA HWY
Address 2
5150 ATLANTA HIGHWAY
City
Bogart
State
Georgia
ZIP Code
30622-2109
Phone
(706) 338-5091

Authorized Official

Name
MRS. ANDRICK TERRELL-MOON
Title
PROGRAM MANAGER
Phone
(706) 338-5091

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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