# GEORGIA RESIDENTIAL AND COMMUNITY HEALTHCARE, INC

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

## Provider details

- **NPI number:** 1508151176
- **Authorized official:** MRS. IYABO AKINTOMIDE RN (DIRECTOR/ADMINISTRATOR)
- **Authorized official phone:** (678) 860-7332

## Contact information

- **Practice address:** 5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
- **Practice address phone:** (770) 987-7053
- **Practice address fax:** (770) 987-5571
- **Mailing address:** 5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
- **Mailing address phone:** (770) 987-7053
- **Mailing address fax:** (770) 987-5571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | 044-01-574-1 | GA | Yes |

## Other

- **Enumeration date:** 06/12/2011
- **Last updated:** 06/12/2011