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HATTIE CLAY OLIVER PCH
NPI 1104194307
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mableton, GA

Active since December 02, 2011
418 VININGS VINTAGE CIR, MABLETON, GA 30126(770) 575-0582(404) 756-4894 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hattie Clay Oliver Pch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HATTIE CLAY OLIVER PCH (NPI 1104194307) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Mableton, Georgia and active in the NPI registry since December 2011. The organization lists James C Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104194307
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameHATTIE CLAY OLIVER PCH
Location Address418 VININGS VINTAGE CIRMableton, GA 30126-7208
Mailing Address1180 Madison Green Ln SwMableton, GA 30126-2154 · (770) 575-0582 · Fax (404) 756-4894
Phone(770) 575-0582
Fax(404) 756-4894
Organization SubpartNo
Authorized OfficialJames C FordCeo · (770) 575-0582
Enumeration DateDecember 2, 2011
Last NPPES UpdateDecember 6, 2011
✔ NPI 1104194307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in GA · PCH005570
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License PCH005570 (GA)
418 VININGS VINTAGE CIR, Mableton, GA 30126
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hattie Clay Oliver Pch's NPI number?

The NPI number for Hattie Clay Oliver Pch is 1104194307. It was assigned to this organization in the NPPES registry on December 2, 2011.

Where is Hattie Clay Oliver Pch located?

Hattie Clay Oliver Pch is located at 418 Vinings Vintage Cir, Mableton, GA 30126. The listed phone number is (770) 575-0582.

What is Hattie Clay Oliver Pch's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Hattie Clay Oliver Pch was last updated on December 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.