Organization
WALTON COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH A WALTON R.N.BSN (PRESIDENT)
(770) 943-6858
Entity
Organization
Contact information
Practice address
561 THORNTON RD, SUITE Z, LITHIA SPRINGS, GA 30122-1558
(770) 943-6858
(770) 943-2667
Mailing address
561 THORNTON RD, SUITE Z, LITHIA SPRINGS, GA 30122-1558
(770) 943-6858
(770) 943-2667
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000857315A
—
GA
05
—
000857315B
—
GA
05
—
000857315C
—
GA
05
—
000857315E
—
GA
05
—
000857315F
—
GA
05
—
000857315G
—
GA
05
—
000857315H
—
GA
05
—
000857315I
—
GA
05
—
330114019A
—
GA
Enumeration date
12/28/2006
Last updated
06/11/2014
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