Organization
PHILPOT PERSONAL CARE HOME
Active
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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