Organization
SIGNATURE CARE OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL POPE (COO)
(678) 485-2527
Entity
Organization
Contact information
Practice address
172 HERRING ST, ATHENS, GA 30601-3148
(706) 224-4531
Mailing address
PO BOX 80044, ATHENS, GA 30608-0044
(706) 224-4531
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CLA002022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222938820E
—
GA
Enumeration date
03/03/2010
Last updated
03/31/2016
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