Organization
BEST CARE GROUP HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS LAMONT DAVIS BSW (DIRECTOR)
(305) 720-3255
Entity
Organization
Contact information
Practice address
1359 EDGEWOOD AVE, DOUGLAS, GA 31533-4543
(912) 383-0054
(912) 383-0054
Mailing address
1359 EDGEWOOD AVE, DOUGLAS, GA 31533-4543
(912) 383-0054
(912) 383-0054
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CLA002023
GA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
CLA002023
GA
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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