PAM WHEELER HOST HOME NPI 1801231907

NPI Information

NPI: 1801231907
Provider Name: PAM WHEELER HOST HOME
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1007 MARY ST
WAYCROSS, GA
ZIP 31503
Phone: (912) 449-7111
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PAM WHEELER HOST HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Waycross, 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. PAM WHEELER HOST HOME NPI is 1801231907. The provider is registered as an organization entity type.

The provider's business location address is:

1007 MARY ST
WAYCROSS, GA
ZIP 31503-823
Phone: (912) 449-7111
Fax: (912) 449-7060

The provider's authorized official is Wendy Hughes .
The authorized official title is Cfo and has the following contact phone number (912) 449-7111.

The enumeration date for this NPI number is 5/2/2013 and was last updated on 5/2/2013.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 5/5/2024

NPI Synchronization or Removal

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