Organization
MORELAND PERSONAL CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALICIA FRANCINE MORELAND (DIRECTOR)
(770) 222-1774
Entity
Organization
Contact information
Practice address
2670 OWENS AVE SW, MARIETTA, GA 30064-4266
(770) 222-1774
(678) 921-9571
Mailing address
2670 OWENS AVE SW, MARIETTA, GA 30064-4266
(770) 222-1774
(770) 222-0814
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00938033A
—
GA
Enumeration date
04/17/2007
Last updated
05/22/2023
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