Organization
MAIN STREET RESIDENTIAL LIVING
Active
Other names
Main Street Residential Living, Main St
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL YORK (OWNER/ADMINISTRATOR)
(912) 658-9238
Entity
Organization
Contact information
Practice address
615 W MAIN ST, THOMASTON, GA 30286-3580
(912) 658-9238
Mailing address
PO BOX 3469, PEACHTREE CITY, GA 30269-7469
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us