A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
GA license #372083530Ataxonomy 385HR2060X
Identifiers
Type
Value
Notes
01 (GA)
372083530A
PROVIDER ID NUMBER
01 (GA)
092-01-106-1
PERSONAL CARE PERMIT NO
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
McDougle Personal Care Home Inc
Type code 4recorded 2019-01-10
Practice context
Single-site organization. Only one practice location on file.
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