# ATL COMMUNITY LIVING LLC

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

## Provider details

- **NPI number:** 1396215158
- **Authorized official:** MS. LONNA HENRYAND (CEO)
- **Authorized official phone:** (267) 205-4732

## Contact information

- **Practice address:** 5231 LOCUST ST, PHILADELPHIA, PA 19139-4020
- **Practice address phone:** (267) 205-4732
- **Mailing address:** 6024 TORRESDALE AVE, PHILADELPHIA, PA 19135-3733
- **Mailing address phone:** (267) 205-4732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2018
- **Last updated:** 12/04/2018