Gleaton Home Providers

NPI #1891850582 in Oxford, Georgia

Provider Information

NPI Number: 1891850582
Entity Type: Organization
Organization Name: Gleaton Home Providers
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 80 WISTERIA DR
City: Oxford
State: Georgia
ZIP Code: 30054-4018
Phone: (678) 625-8897

Authorized Official

Name: NIKKI GLEATON
Title: CEO
Phone: (678) 625-8897

Specialties & Taxonomy Codes

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

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