Clayton Mhddad in Jonesboro - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Clayton Mhddad - NPI 1942498647
Clayton Mhddad is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jonesboro, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Clayton Mhddad is 1942498647. The last update date is 2008-03-05.
Clayton Mhddad's current location address is 112 Broad St, Jonesboro, Georgia. You can contact this provider via phone number 7704782280 and fax number 7704779772. The mailing address for Clayton Mhddad is 112 Broad St, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mhddad |
|---|---|
| Address | 112 Broad St, Jonesboro, Georgia |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXCUTIVE D |
|---|---|
| Authorized Official Name | Benefield Jade |
| Telephone Number | 7704782280 |
NPI Number Detail
| NPI Number | 1942498647 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 112 Broad St |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302363563 |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00607076B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been assigned the NPI (National Provider Identifier) 1942498647 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Clayton Mhddad is located?
The Clayton Mhddad is situated at the following address: 112 Broad St, Jonesboro, GA, 302363563.
What is Clayton Mhddad's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clayton Mhddad is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942498647 to Clayton Mhddad?
The Centers for Medicare & Medicaid Services originally issued the 1942498647 to Clayton Mhddad on 2007-10-09.
When was the information related to Clayton Mhddad most recently updated or refreshed?
The details pertaining to the Clayton Mhddad, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-05.