Organization
ABAGAILS PERSONAL CARE HOME AGENCY INC.
Active
Organization
ABAGAILS PERSONAL CARE HOME AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA L. MCCLAIN (CEO)
(678) 993-7585
Entity
Organization
Contact information
Practice address
707 E MCINTOSH RD, GRIFFIN, GA 30223-1520
(678) 993-7585
Mailing address
1014 MISS A MBER WAY, LOCUST GROVE, GA 30248
(678) 993-7585
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
PCH008040
GA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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