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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