Organization
AD&S PERSONAL CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MONTGOMERY (CO-OWNER/SECRETARY)
(404) 862-1303
Entity
Organization
Contact information
Practice address
624 MAXWELL ST, HINESVILLE, GA 31313-4213
(912) 877-5488
(912) 877-5464
Mailing address
3685 SUMMIT TRCE, DECATUR, GA 30034-3846
(404) 862-1303
(404) 212-1495
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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