Whalio Doctors

NPI 1346473246

The Homeplace Shelter INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Thomasville, GA

Practice location

Address
612 E Clay St, Thomasville, GA 31792-4608
Phone
(229) 551-0695
Fax
(229) 551-0694
Mailing address
612 E Clay St 610 East Clay Street, Thomasville, GA 31792-4608

Authorised official

Name
Nancy Lee Mitchell
Title
Administrator
Phone
(229) 228-1985

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 136-01-096-1 (GA)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence 136-01-096-1 (GA)
Private Vehicle
Transportation Services Taxonomy 347C00000X Licence 136-01-096-1 (GA)

Registry record

NPI
1346473246
Entity type
Organization
NPI issued
26 Aug 2009
Record last updated
26 Aug 2009

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.