Organization
TERRELL'S PERSONAL CARE HOME, INC
Active
Other names
T and A's Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDRICK TERRELL-MOON (PROGRAM MANAGER)
(706) 338-5091
Entity
Organization
Contact information
Practice address
5100 ATLANTA HWY, 5150 ATLANTA HIGHWAY, BOGART, GA 30622-2109
(706) 338-5091
(866) 615-7091
Mailing address
126 BARRINGTON DR, ATHENS, GA 30605-3580
(706) 338-5091
(866) 615-7091
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233656728A
—
GA
05
—
404716841B
—
GA
Enumeration date
09/13/2011
Last updated
09/13/2011
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