Organization
DATA HOUSE TRANSITION HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIUS ECHOLS SR. OWNER (OWNER)
(678) 790-8033
Entity
Organization
Contact information
Practice address
6014 BILLINGS RD, COLUMBUS, GA 31909-4335
(706) 662-2733
Mailing address
2104 SKYLAKE DR, COLUMBUS, GA 31907-3547
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
92788
GA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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