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Organization
ALLAWAY ANGELS
Active
Organization
ALLAWAY ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLYA SHARESE ALLAWAY (OWNER)
(404) 825-5656
Entity
Organization
Contact information
Practice address
805 DEERFIELD CT, STONE MOUNTAIN, GA 30087-5483
(404) 825-5656
Mailing address
805 DEERFIELD CT, STONE MOUNTAIN, GA 30087-5483
(404) 825-5656
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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