Carter's Group Home, INC

NPI #1558501171 in Jefferson, Georgia

Provider Information

NPI Number: 1558501171
Entity Type: Organization
Organization Name: Carter's Group Home, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 22, 2009
Last Updated: Feb 22, 2009

Practice Location

Address: 91 RIGHTEOUS PATH
City: Jefferson
State: Georgia
ZIP Code: 30549-7037
Phone: (706) 254-8113

Authorized Official

Name: MRS. CAROLYN CARTER, RESIDENTIAL PROVIDER
Title: OWNER
Phone: (706) 254-8113

Specialties & Taxonomy Codes

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

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