OrganizationActive
Extended Hands Incorporation
NPI 1679810030 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Loganville, GA
Provider details
- NPI number
- 1679810030
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Margene Edwards, Director(678) 939-8916
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1599 Holly Ridge Dr
Loganville, GA 30052-4180
Phone: (678) 939-8916
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2494
Loganville, GA 30052-1950
Registry dates
- Enumerated
- 2013-01-04
- Last updated
- 2013-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.