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Organization
REJUVENATE N EDEN, INC
Active
Organization
REJUVENATE N EDEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZIE DOUGLAS (PRESIDENT)
(404) 597-2203
Entity
Organization
Contact information
Practice address
1918 PANOLA RD, LITHONIA, GA 30058-5520
(404) 597-2203
Mailing address
1918 PANOLA RD, LITHONIA, GA 30058-5520
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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