NPI 1487185492

Donnel Cross Host Home

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

Practice location

Address: 1007 Mary St, Waycross, GA 31503-3823
Phone: (912) 449-7100
Fax: (912) 449-7063
Mailing address: 408 Mackenzie Cir, Douglas, GA 31533-1319

Authorised official

Name: Glyn Thomas
Title: Ceo
Phone: (912) 449-7100

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: 1487185492
Entity type: Organization
NPI issued: 22 Mar 2017
Record last updated: 22 Mar 2017

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.