SHIRLEY HOME AWAY FROM HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SHIRLEY HOME AWAY FROM HOME NPI is 1457684482. The provider is registered as an organization entity type.
The provider's business location address is:
190 MIDDLING LN
FAYETTEVILLE, GA
ZIP 30214-767
Phone: (678) 557-2207
The provider's authorized official is Shirley Wilson .
The authorized official title is Administrator and has the following contact phone number (678) 557-2207.
The enumeration date for this NPI number is 9/9/2009 and was last updated on 9/9/2009.