NPI 1033424171

Southern Group Homes, LLC

Organisation Community/Behavioral Health Agency Ellenwood, GA

Practice location

Address: 5450 Platte Dr, Ellenwood, GA 30294-6667
Phone: (770) 472-9113
Mailing address: PO Box 228, Easley, SC 29641-0228

Authorised official

Name: Jeffrey Charles Chastain
Title: Owner
Phone: (864) 979-5397

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Georgia →

Registry record

NPI: 1033424171
Entity type: Organization
NPI issued: 13 Aug 2010
Record last updated: 13 Aug 2010

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.