NPI age
8 years
Enumerated 2017-11-03
● Active Type 2 · Organization
Main Street Residential Living
Main Street Residential Living is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
York
Owner/administrator
Last NPPES update
2018-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.
NPI age
8 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
615 W Main St
Thomaston, GA 302863580
Mailing address
Po Box 3469
Peachtree City, GA 302697469
Authorized official
Chrystal York
Owner/administrator
📞 9126589238
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Main St
-
Main Street Residential Living
Practice context
Single-site organization. Only one practice location on file.
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