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Organization

PHILPOT PERSONAL CARE HOME

Active
Other names
Atlanta Residential Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHERYL ANN GLASS (ADMINISTRATOR)
(404) 625-1688
Entity
Organization

Contact information

Practice address
4760 CASCADE RD SW, ATLANTA, GA 30331-7348
(404) 505-7585
(404) 699-9807
Mailing address
4760 CASCADE RD SW, ATLANTA, GA 30331-7348
(404) 505-7585
(404) 699-9807

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GA
385H00000X
Respite Care
GA
385HR2055X
Child Mental Illness Respite Care
GA

Other

Enumeration date
09/05/2007
Last updated
09/05/2007
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