Altomese Neloms Host Home

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

NPI 1669922332 · NPPES record last updated Oct 6, 2016

Key facts

NPI
1669922332
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
ALTOMESE NELOMS HOST HOME
Practice address
1007 Mary St
Waycross, GA 31503-3823
Phone
(912) 449-7109
NPI assigned
Oct 6, 2016
Organization subpart
No

Authorized official

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

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
Supportive Employment (71 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

1007 Mary St
Waycross, GA 31503-3823

Mailing address

1314 Elizabeth St
Waycross, GA 31503-3935

Other providers in Waycross, GA

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

Sources for this page

Verify at the official NPI Registry.