Organization
RACHELS' PERSONAL CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAMIE MARIE RACHELS (ADMINISTRATOR)
(770) 298-7937
Entity
Organization
Contact information
Practice address
1285 MUIRFOREST WAY, STONE MOUNTAIN, GA 30088-3235
(770) 413-3285
Mailing address
1285 MUIRFOREST WAY, STONE MOUNTAIN, GA 30088-3235
(770) 413-3285
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
084045637A
GA
Other
Enumeration date
09/11/2010
Last updated
09/11/2010
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