Willie Mae Berry Pugh, NPI 1144747437
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hephzibah, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1144747437
NPI Entity Type Individual
Provider Name Willie Mae Berry Pugh
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2013 Teal Court, Hephzibah, GA, US
Provider Mailing Address 2013 Teal Ct, Hephzibah, GA, US, 308157951
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

320600000X

Taxonomy Name Intellectual and/or Developmental Disabilities Residential Treatment Facility
Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

Description A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Business Address

Willie Mae Berry Pugh
2013 Teal Court

Hephzibah, GA, US

Phone: 706-790-4961

Mailing Address

Willie Mae Berry Pugh
2013 Teal Ct
Hephzibah, GA, US
ZIP 308157951
Phone: 706-790-4961

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