J Hall Host Home

NPI #1225378839 in Elberton, Georgia

Provider Information

NPI Number: 1225378839
Entity Type: Organization
Organization Name: J Hall Host Home
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 19, 2013
Last Updated: Feb 19, 2013

Practice Location

Address: 2349 JAUDON RD
City: Elberton
State: Georgia
ZIP Code: 30635-4705
Phone: (706) 389-6789

Authorized Official

Name: GLENN BUTLER
Title: BILLING MGR
Phone: (706) 389-6789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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