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Organization

HOUSEHOLD OF FAITH

Active
Parent organization
HOUSEHOLD OF FAITH
Other names
household of faith
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOUSEHOLD OF FAITH
Authorized official
MRS. ANGELA MILLER (EXCUTIVE DIRECTOR)
(678) 774-8033
Entity
Organization

Contact information

Practice address
341 OLD GRIFFIN RD, JACKSON, GA 30233-4952
(678) 774-8033
Mailing address
341 OLD GRIFFIN RD, P.O BOX1804, JACKSON, GA 30233-4952
(678) 774-8033

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
GA

Other

Enumeration date
12/07/2012
Last updated
12/08/2012
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