Organization
ADVANTAGE BHS
Active
Other names
NOODY'S PERSONAL CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN BUTLER (BILLING SUPERVISOR)
(706) 542-9700
Entity
Organization
Contact information
Practice address
331 WALL ST, CRAWFORD, GA 30630-2419
(706) 743-3355
Mailing address
250 NORTH AVE, BUSINESS OFC, ATHENS, GA 30601-2244
(706) 542-9700
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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