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Household of Faith — NPI 1174868707, Jackson, GA | NPI Central

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NPI 1174868707

OrganizationActive

Household of Faith

NPI 1174868707 · Preferred Provider Organization · Jackson, GA

Provider details

NPI number: 1174868707
Entity type: Organization
Primary specialty: Preferred Provider OrganizationManaged Care Organizations
Parent organization: Household of Faith
Organization subpart: Yes
Authorized official: Angela Miller, Excutive Director(678) 774-8033

Specialties & taxonomies

Preferred Provider OrganizationPrimary305R00000X
Managed Care Organizations
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities

Practice location

341 Old Griffin Rd

Jackson, GA 30233-4952

Phone: (678) 774-8033

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

341 Old Griffin Rd

Jackson, GA 30233-4952

Other names (DBA / former)

Other name: Household of Faith

Registry dates

Enumerated: 2012-12-07
Last updated: 2012-12-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.