Organization
CARTER'S GROUP HOME, INC
Active
Other names
carter's group home, inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN CARTER RESIDENTIAL PROVIDER (OWNER)
(706) 254-8113
Entity
Organization
Contact information
Practice address
91 RIGHTEOUS PATH, JEFFERSON, GA 30549-7037
(706) 254-8113
Mailing address
297 SAWDUST TRL, NICHOLSON, GA 30565-5000
(706) 757-3984
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
07801016
GA
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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