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Residential Treatment Facilities at Anthony Dejuan Pkwy, Hephzibah, GA

License number
Georgia CLA000684 P
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: WILLIAM KENNETH WHIDDON
Title: COO
Phone: (912) 638-0350
Address
Address 2
2577 Anthony Dejuan Pkwy, Hephzibah, GA 30815
PO Box 20664, Saint Simons Island, GA 31522
National Provider ID: 1417229030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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