NPI 1417647413
Overcomers Youth Residential Home
Practice location
- Address
- 115 E Main St, Buford, GA 30518-5727
- Phone
- (678) 887-3907
- Mailing address
- 780 James Ridge Dr, Lawrenceville, GA 30045-6800
Authorised official
- Name
- Marcia Weeks
- Title
- Executive Director
- Phone
- (678) 887-3907
Registered specialties (6)
Intellectual Disabilities Intermediate Care Facility
Primary
Case Management Agency
Home Health Agency
Community Based Hospice Care Agency
Community/Behavioral Health Agency
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1417647413
- Entity type
- Organization
- NPI issued
- 11 May 2023
- Record last updated
- 11 May 2023
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.