Organization
OMNI FIRST HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DIARRA JACKSON (CEO)
(678) 650-8008
Entity
Organization
Contact information
Practice address
4492 BAKERS FERRY RD SW, ATLANTA, GA 30331-4502
(678) 650-8008
Mailing address
4492 BAKERS FERRY RD SW, ATLANTA, GA 30331-4502
(678) 650-8008
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2014
Last updated
03/15/2014
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