Organization
GOD'S CHILD PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SMITH (OWNER/DIRECTOR)
(810) 875-8255
Entity
Organization
Contact information
Practice address
4810 ENCLAVE DR, UNION CITY, GA 30291-6072
(810) 875-8255
Mailing address
4810 ENCLAVE DR, UNION CITY, GA 30291-6072
(810) 875-8255
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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