WILLIE MAE B. PUGH – NPI #1144747437
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
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.
WILLIE MAE PUGH is a residential treatment facility located in HEPHZIBAH, GA. NPPES has assigned the NPI number 1144747437 to WILLIE MAE PUGH on August 28, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLIE MAE PUGH below.
NPI Profile for
WILLIE MAE B. PUGH
(about 9 years ago)
HEPHZIBAH, GA 30815 Phone: (706) 790-4961 Fax:
HEPHZIBAH, GA 30815-7951 Phone: (706) 790-4961 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.