Organization
GLEATON HOME PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI GLEATON (CEO)
(678) 625-8897
Entity
Organization
Contact information
Practice address
80 WISTERIA DR, OXFORD, GA 30054-4018
(678) 625-8897
(678) 625-0619
Mailing address
80 WISTERIA DR, OXFORD, GA 30054-4018
(678) 625-8897
(678) 625-0619
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
GA
Other
Enumeration date
12/24/2006
Last updated
08/22/2020
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