| Organization Name: | PERSONAL ASSISTANCE OF TOCCOA, LLC |
| NPI Number: | 1316213150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILISSA MICHELLE MARTIN (CEO) |
| Mailing Address: | 221 E Doyle St Toccoa |
| State: | GA US |
| Postal Code: | 305772960 |
| Phone Number: | 7068862847 |
| Fax Number: | 7068860146 |
| NPI Enumeration Date: | 03/27/2012 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385HR2065X |
| License Number: | 127-R-0934 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | Respite Care, Physical Disabilities, Child |
| Taxonomy Definition: | A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |