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Elm St Cla

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Greensboro, GA

NPI 1346510997 · NPPES record last updated Jan 12, 2012

Key facts

NPI
1346510997
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
ELM ST CLA
Practice address
202 E Elm St
Greensboro, GA 30642-1329
Phone
(706) 453-1400
NPI assigned
Jan 12, 2012
Organization subpart
Yes
Parent organization (as reported)
ABHS

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
True Comfort Care Home 6 (59 organizations share this tax ID)
Part of
True Comfort Care Home 6

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

202 E Elm St
Greensboro, GA 30642-1329

Mailing address

250 North Ave
Athens, GA 30601-2244

Other providers in Greensboro, GA

All providers in Greensboro, GA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

Sources for this page

Verify at the official NPI Registry.