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A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI Number | 1609127646 |
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| LBN Legal business name | MACON MENTOR ACADEMY | ||||
| Authorized official | JERRY MACON - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/01/2012 | ||||
| Last updated | 10/01/2012 - About 14 years ago | ||||
| Identifiers |
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MACON MENTOR ACADEMY
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MACON MENTOR ACADEMY