# AGELESS HEALTH CARE & ASSISTED LIVING

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

## Provider details

- **NPI number:** 1548439953
- **Authorized official:** JACQUELINE PEAN (OWNER)
- **Authorized official phone:** (678) 526-5464

## Contact information

- **Practice address:** 1300 ROCK CHAPEL RD, LITHONIA, GA 30058-5835
- **Practice address phone:** (678) 526-5464
- **Mailing address:** 1300 ROCK CHAPEL RD, LITHONIA, GA 30058-5835
- **Mailing address phone:** (678) 526-5464

## Taxonomy

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

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 02/29/2008