NPI 1114298635

Freds House

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

Practice location

Address: 517 Watson Mill Rd, Comer, GA 30629-6124
Phone: (706) 207-0894
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

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Registry record

NPI: 1114298635
Entity type: Organization
NPI issued: 13 Jan 2012
Record last updated: 13 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.