Household of Faith
NPI #1174868707 in Jackson, Georgia
Provider Information
- NPI Number
- 1174868707
- Entity Type
- Organization
- Organization Name
- Household of Faith
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HOUSEHOLD OF FAITH
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Dec 7, 2012
- Last Updated
- Dec 8, 2012
Practice Location
Authorized Official
- Name
- MRS. ANGELA MILLER
- Title
- EXCUTIVE DIRECTOR
- Phone
- (678) 774-8033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Preferred Provider Organization |
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|---|---|
| MR. Nicholas Jean Beaulieu, M.D. |
Organizations
| Provider Name | |
|---|---|
| Robert T Stark Md,pc | |
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| Victoria D Manning | |
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