MISS JOS PCH NPI 1598090581

NPI Information

  • NPI: 1598090581
  • Provider Name: MISS JOS PCH
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 601 MCDONALD ST
    WAYCROSS, GA
    ZIP 31503
  • Phone: (912) 283-8587

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NPI Details

MISS JOS PCH is an intermediate care facility mentally retarded in Waycross, GA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MISS JOS PCH NPI is 1598090581. The provider is registered as an organization entity type.

The provider's business location address is:

601 MCDONALD ST
WAYCROSS, GA
ZIP 31503-704
Phone: (912) 283-8587
Fax: (912) 283-4581

The provider's authorized official is Joletha S Williams .
The authorized official title is Owner/ceo and has the following contact phone number (912) 283-4581.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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