Organization
IT'S GIVING PURPOSE
Active
Other names
Walker Village Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA WALKER (OWNER)
(864) 451-2473
Entity
Organization
Contact information
Practice address
2119 LUMPKIN RD APT D3, AUGUSTA, GA 30906-3440
(864) 451-2473
Mailing address
1201 W PEACHTREE ST NW STE 2625, ATLANTA, GA 30309-3499
(864) 451-2473
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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