| NPI | 1093831455 |
|---|---|
| Other Name | NOODY'S PERSONAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | GLENN BUTLER Billing Supervisor 706-542-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |