| Grace Oasis Personal Care Home Llc | |
|
2629 Hilderbrand Dr Douglasville GA 30135-5135 | |
| (770) 616-7758 | |
| Not Available |
| Full Name | Grace Oasis Personal Care Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2629 Hilderbrand Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Sarah President (ADMINISTRATOR/MANAGER) |
| Authorized Official Contact | 7706167758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Oasis Personal Care Home Llc 2629 Hilderbrand Dr Douglasville GA 30135-5135 Ph: (770) 616-7758 | Grace Oasis Personal Care Home Llc 2629 Hilderbrand Dr Douglasville GA 30135-5135 Ph: (770) 616-7758 |
| NPI Number | 1134560840 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134560840 | NPI | - | NPPES |
| 512346476A | Other | GA | CRA NUMBER |
| 105768106A | Other | GA | PAYEE ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CLA000784 (Georgia) | Primary |
The Sister Circle Of Love And Empowerment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Boyer Glen Dr., Douglasville, GA 30135 Phone: 770-896-6854 | |
Reflections Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Saddle Bronc Cir, Douglasville, GA 30135 Phone: 877-221-6843 | |
Change Your Story Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8336 Office Park Dr Ste Office, Douglasville, GA 30134 Phone: 770-568-7650 | |
Life Tools Community Development Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5357 Chapel Hill Rd, Douglasville, GA 30135 Phone: 770-942-4742 Fax: 770-293-0786 | |
Real Life Solutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8355 Cherokee Blvd, Douglasville, GA 30134 Phone: 770-927-7272 | |
Douglasville Psychological Outpatient Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8304 Office Park Dr, Douglasville, GA 30134 Phone: 678-838-9336 | |
Holistic Solutions Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 Fairburn Rd Ste C, Douglasville, GA 30135 Phone: 770-880-2294 |