Organization
CLAIRE CUSTOM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ANGEUS (CEO)
(678) 233-8285
Entity
Organization
Contact information
Practice address
1452 TETHER LN, MCDONOUGH, GA 30253-9210
(678) 233-8285
(844) 273-5942
Mailing address
1452 TETHER LN, MCDONOUGH, GA 30253-9210
(678) 233-8285
(844) 273-5942
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
GA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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