QUENCIE'S MANOR LLC NPI 1619403805

NPI Information

QUENCIE'S MANOR LLC is a residential treatment facility physical disabilities in Macon, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. QUENCIE'S MANOR LLC NPI is 1619403805. The provider is registered as an organization entity type.

The provider's business location address is:

2104 JEFFERSONVILLE RD
MACON, GA
ZIP 31217-517
Phone: (478) 832-5479
Fax: (478) 239-5148

The provider's authorized official is Joseph Andrews .
The authorized official title is Administator and has the following contact phone number (478) 832-5479.

The enumeration date for this NPI number is 5/7/2017 and was last updated on 5/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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