# MY FATHERS ESTATE, LLC

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

## Provider details

- **NPI number:** 1265733299
- **Authorized official:** MS. SHIRLEY BROWN (CEO)
- **Authorized official phone:** (770) 356-2479

## Contact information

- **Practice address:** 1928 FLAT ROCK RD, STOCKBRIDGE, GA 30281-2039
- **Practice address phone:** (770) 356-2479
- **Practice address fax:** (770) 474-3904
- **Mailing address:** 1928 FLAT ROCK RD, STOCKBRIDGE, GA 30281-2039
- **Mailing address phone:** (770) 356-2479
- **Mailing address fax:** (770) 474-3904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 075010578 | GA | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 075010578 | GA | — |

## Other

- **Enumeration date:** 11/08/2010
- **Last updated:** 11/08/2010