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Organization

BJ&W PERSONAL CARE HOME INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA JEANNE AUSTIN MSW (CEO/SOCIAL WORKER)
(678) 521-1385
Entity
Organization

Contact information

Practice address
951 PINE ROC DR, STONE MOUNTAIN, GA 30083-3523
(770) 498-7790
(678) 344-3109
Mailing address
951 PINE ROC DR, STONE MOUNTAIN, GA 30083-3523
(770) 498-7790
(678) 344-3109

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GA

Other

Enumeration date
12/21/2007
Last updated
12/21/2007
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