HATTIE CLAY OLIVER PCH
Residential Treatment Facilities at Vinings Vintage Cir, Mableton, GA

License number
Georgia PCH005570
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
Georgia PCH005570
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. JAMES C FORD
Title: CEO
Phone: (770) 575-0582
Address
Address
418 Vinings Vintage Cir, Mableton, GA 30126
National Provider ID: 1104194307
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HATTIE CLAY OLIVER PCH at bizstanding.com

HATTIE CLAY OLIVER PCH, LLC

418 Vinings Vintage Cir, Mableton, GA

Registration:
Dec 7, 2011
State ID:
11090523
Business type:
Domestic Limited Liability Company
Agent:
James C. Ford,1180 Madison Grn Ln, Mableton, GA 30126 (Physical)

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