Shirley Home Away from Home
Shirley Home Away from Home is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Riverdale, Georgia. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
8412 Red Cedar WayRiverdale, GA 30274-4562 Not confirmed with CMS for 17 years — call before visiting
Phone: (678) 557-2207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1023341062 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shirley Wilson — Administor · (678) 557-2207 |
| NPI enumerated | September 9, 2009 |
| Last updated in NPPES | September 9, 2009 |
| Mailing address | 8412 Red Cedar Way, Riverdale, GA 30274-4562 |
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