OrganizationActive
Bobby Bennett Host Home
NPI 1639495682 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waycross, GA
Provider details
- NPI number
- 1639495682
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Satilla Community Services
- Authorized official
- Glynn Thomas, Ceo
Mailing address
4156 White Tail Way
Blackshear, GA 31516-5204
Registry dates
- Enumerated
- 2010-04-15
- Last updated
- 2010-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.