B & W Residential Care Services

NPI #1124336235 in Monroe, Georgia

Provider Information

NPI Number: 1124336235
Entity Type: Organization
Organization Name: B & W Residential Care Services
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 23, 2010
Last Updated: Sep 30, 2010

Practice Location

Address: 902 AMBER TRL
City: Monroe
State: Georgia
ZIP Code: 30655-8481
Phone: (860) 233-4971

Authorized Official

Name: MS. JUDITH ELISE BURCHELL, RN,BSN
Title: CHIEF EXECUTIVE OFFICER (CEO)
Phone: (860) 233-4971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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