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Organization

ROYAL COTTAGE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA L REID (CEO)
(770) 256-3194
Entity
Organization

Contact information

Practice address
65 STONEY POINT TER, COVINGTON, GA 30014-7070
(678) 261-8125
Mailing address
65 STONEY POINT TER, COVINGTON, GA 30014-7070
(678) 261-8125

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
107-01-071-1
GA
323P00000X
Psychiatric Residential Treatment Facility
107-01-071-1
GA

Other

Enumeration date
02/20/2012
Last updated
02/20/2012
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