# DESTINY ADULT HOME DAY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083963607
- **Authorized official:** VELENA MIXON (OWNER/DIRECTOR)
- **Authorized official phone:** (404) 434-6711

## Contact information

- **Practice address:** 3363 PINEGATE TRL, SNELLVILLE, GA 30039-8815
- **Practice address phone:** (770) 648-6960
- **Mailing address:** 3363 PINEGATE TRL, SNELLVILLE, GA 30039-8815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 2012013672 | GA | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 08/29/2012