Whalio Doctors

NPI 1629535216

Carpenter Host Home

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

Practice location

Address
806 Grady Ave N, Douglas, GA 31533-4812
Phone
(912) 449-7100
Mailing address
1007 Mary St, Waycross, GA 31503-3823

Authorised official

Name
Laura Michelle Simpson
Title
Manager
Phone
(912) 449-7109

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1629535216
Entity type
Organization
NPI issued
1 Mar 2019
Record last updated
1 Mar 2019

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.