Clayton Mhddad

Respite Care · Jonesboro, GA

Organization Active NPI

NPI number 1760670467

Practice location

9698 Holly Hill Way
Jonesboro, GA 30238-6490
Phone
(770) 471-2971
Fax
(770) 477-9772

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NPI record

NPI
1760670467
Entity type
Organization (Type 2)
Enumeration date
October 9, 2007
Last updated
November 8, 2011
Organization subpart
Yes
Parent organization
Clayton Mhddad

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Respite Care Primary 385H00000X — —
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X — —

Mailing address

157 Smith St
Jonesboro, GA 30236-3546
Phone
(770) 478-2280
Fax
(770) 477-9772

Authorized official

Name
Mr. Terry Cole
Title
Excutive Director
Phone
(770) 478-2280

Other names

  • Clayton CSB

About Clayton Mhddad

Clayton Mhddad is a healthcare organization registered in the NPI registry with the primary taxonomy Respite Care (code 385H00000X). The practice location is 9698 Holly Hill Way, Jonesboro, GA 30238-6490. The NPI number 1760670467 was assigned on October 9, 2007 and the record was last updated on November 8, 2011.

The authorized official for this organization is Mr. Terry Cole, Excutive Director.

Frequently asked questions

What is the NPI number of Clayton Mhddad?

The NPI number is 1760670467.

What is the phone number of Clayton Mhddad?

The phone number listed for the practice location is (770) 471-2971.

Where is Clayton Mhddad located?

9698 Holly Hill Way, Jonesboro, GA 30238-6490.

What is the taxonomy code for Clayton Mhddad?

The primary taxonomy code is 385H00000X – Respite Care; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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