Extended Hands Incorporation
NPI #1679810030 in Loganville, Georgia
Provider Information
- NPI Number
- 1679810030
- Entity Type
- Organization
- Organization Name
- Extended Hands Incorporation
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 4, 2013
- Last Updated
- Jan 4, 2013
Practice Location
- Address
- 1599 HOLLY RIDGE DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-4180
- Phone
- (678) 939-8916
Authorized Official
- Name
- MRS. MARGENE RENATE EDWARDS, B.S.
- Title
- DIRECTOR
- Phone
- (678) 939-8916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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