Organization · NPI-2

First Lady Residential Service LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Savannah, GA

NPI number1891181335
StatusActive
Last updated in NPPESApr 10, 2015

Details

NPI
1891181335
Entity type
Organization (NPI-2)
Legal business name
First Lady Residential Service LLC
Organization subpart
No
Enumeration date
Apr 10, 2015
Last updated
Apr 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

401 Barnhill Dr
Savannah, GA 31406-5912

Phone 912-508-3363 · Fax 912-925-5515

Mailing address

401 Barnhill Dr
Savannah, GA 31406-5912

Phone 912-508-3363 · Fax 912-925-5515

Authorized official

Deborah Ann Gant
Ceo/ Owner
9125083363

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