Whalio Doctors

NPI 1669922332

Altomese Neloms 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) 449-7109
Mailing address
1314 Elizabeth St, Waycross, GA 31503-3935

Authorised official

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

Registered specialties

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

Registry record

NPI
1669922332
Entity type
Organization
NPI issued
6 Oct 2016
Record last updated
6 Oct 2016

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.