NPI 1730459074

L Allen Host Home

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

Practice location

Address: 843 Lincoln Hts, Elberton, GA 30635-2234
Phone: (706) 408-0418
Mailing address: 250 North Ave, Athens, GA 30601-2244

Authorised official

Name: Glenn Butler
Title: Billing Mgr
Phone: (706) 389-6789

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1730459074
Entity type: Organization
NPI issued: 4 Jan 2012
Record last updated: 4 Jan 2012

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.