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Organization

NEW WAY CARE HOME INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY VICTORIA NEWTON (CEO)
(678) 559-4025
Entity
Organization

Contact information

Practice address
1262 KING RD, RIVERDALE, GA 30296-2952
(770) 573-4788
Mailing address
7142 BLACKJACK CT, RIVERDALE, GA 30296-2168
(770) 629-5883

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
GA
320700000X
Physical Disabilities Residential Treatment Facility
Primary
GA

Other

Enumeration date
01/23/2012
Last updated
02/15/2012
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