G Daniel Host Home

NPI #1255601597 in Elberton, Georgia

Provider Information

NPI Number
1255601597
Entity Type
Organization
Organization Name
G Daniel Host Home
Subpart
Yes (part of a larger organization)
Parent Organization
ABHS
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 4, 2012
Last Updated
Jan 4, 2012

Practice Location

Address
242 N OLIVER ST
State
Georgia
ZIP Code
30635-1444
Phone
(706) 206-6113

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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