Organization
RHEMA ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE A WILLIAMS III (CEO)
(770) 439-2596
Entity
Organization
Contact information
Practice address
3144 MACEDONIA RD, POWDER SPRINGS, GA 30127-2111
(770) 439-2596
(770) 222-2138
Mailing address
3144 MACEDONIA RD, POWDER SPRINGS, GA 30127-2111
(770) 439-2596
(770) 222-2138
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
033020301
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
033020301
GA
Other
Enumeration date
12/06/2011
Last updated
12/08/2011
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