Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CALVEINA FORDE
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · MCDONOUGH, GA
Registration Details
- NPI Number
- 1437764925
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2020 (5.6128273542441 yrs)
- Last Updated
- Sep 10, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
538 COUNTRY LAKE DRMCDONOUGH, GA, 302522683Browse GA providers · Browse ZIP 30252
- Phone
- 9175003402
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.