Organization
MOORE, SHARLENE'S PERSONAL CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARLENE JOYCE MOORE (CEO)
(229) 248-5955
Entity
Organization
Contact information
Practice address
1401 BELCHER LANE, BAINBRIDGE, GA 39818-8327
(229) 248-5955
(229) 248-8614
Mailing address
1401 BELCHER LANE, BAINBRIDGE, GA 39818-8327
(229) 248-5955
(229) 248-8614
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CLA001018
GA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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