Whalio Doctors

NPI 1023388360

P Redmon Host Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Commerce, GA

Practice location

Address
67 Bowden St, Commerce, GA 30529-2402
Phone
(706) 225-1296
Mailing address
250 North Ave, Athens, GA 30601-2244

Authorised official

Name
Glenn Butler
Title
Billing Mgr
Phone
(706) 389-6789

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1023388360
Entity type
Organization
NPI issued
4 Jan 2012
Record last updated
4 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.