# K GIBSS HOST HOME

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ABHS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043580384
- **Legal business name:** ABHS
- **Authorized official:** GLENN BUTLER (BILLING MGR)
- **Authorized official phone:** (706) 389-6789

## Contact information

- **Practice address:** 1435 JODY HALL DR, ELBERTON, GA 30635-4510
- **Practice address phone:** (706) 621-2079
- **Mailing address:** 250 NORTH AVE, ATHENS, GA 30601-2244
- **Mailing address phone:** (706) 389-6789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 01/04/2012