# CARTER'S GROUP HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** carter's group home, inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558501171
- **Authorized official:** MRS. CAROLYN CARTER RESIDENTIAL PROVIDER (OWNER)
- **Authorized official phone:** (706) 254-8113

## Contact information

- **Practice address:** 91 RIGHTEOUS PATH, JEFFERSON, GA 30549-7037
- **Practice address phone:** (706) 254-8113
- **Mailing address:** 297 SAWDUST TRL, NICHOLSON, GA 30565-5000
- **Mailing address phone:** (706) 757-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 07801016 | GA | Yes |

## Other

- **Enumeration date:** 02/22/2009
- **Last updated:** 02/22/2009