# ETERNAL HOPE AND LIFE, LLC

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

## Provider details

- **NPI number:** 1477855930
- **Authorized official:** MR. RYAN DENNARD (CEO)
- **Authorized official phone:** (404) 591-5131

## Contact information

- **Practice address:** 7349 POPPY WAY, UNION CITY, GA 30291-3411
- **Practice address phone:** (404) 591-5131
- **Practice address fax:** (404) 420-2483
- **Mailing address:** 2045 MOUNT ZION RD \# 337, MORROW, GA 30260-3313
- **Mailing address phone:** (404) 591-5131
- **Mailing address fax:** (404) 420-2483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | 060013798 | GA | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 060013798 | GA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 060013798 | GA | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 12/03/2010