OrganizationActive
Claire Custom Care
NPI 1992100705 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mcdonough, GA
Provider details
- NPI number
- 1992100705
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sandra Angeus, Ceo(678) 233-8285
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1452 Tether Ln
Mcdonough, GA 30253-9210
Phone: (678) 233-8285
Fax: (844) 273-5942
Approximate (ZIP-level) locationGet directions
Mailing address
1452 Tether Ln
Mcdonough, GA 30253-9210
Registry dates
- Enumerated
- 2014-10-23
- Last updated
- 2014-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.