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Organization
ENABLE OF GEORGIA, INC.
Active
Organization
ENABLE OF GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY STERN PHD (CHIEF EXECUTIVE OFFICER)
(770) 664-4347
Entity
Organization
Contact information
Practice address
1200 OLD ELLIS RD, ROSWELL, GA 30076-3850
(770) 664-4347
(770) 740-0650
Mailing address
1200 OLD ELLIS RD, ROSWELL, GA 30076-3850
(770) 664-4347
(770) 740-0650
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
NULL
Other
Enumeration date
09/16/2013
Last updated
09/17/2013
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