Organization
IRIE COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHIA KIRTZ LMSW (DIRECTOR)
(943) 237-2892
Entity
Organization
Contact information
Practice address
729 S JEFF DAVIS DR, FAYETTEVILLE, GA 30215-2416
(943) 237-2892
Mailing address
805 GLYNN ST S STE 127, PMB #196, FAYETTEVILLE, GA 30214-2077
(943) 237-2892
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/18/2026
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