Organization
T LEIGE HOST HOME
Active
Parent organization
ABHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABHS
Authorized official
GLENN BUTLER (BILLING MGR)
(706) 389-6789
Entity
Organization
Contact information
Practice address
202 SWEETGUM WAY, ATHENS, GA 30601-4067
(706) 340-7421
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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