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Organization
UL LIVING
Active
Organization
UL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA DRAIN (DIRECTOR)
(404) 517-4155
Entity
Organization
Contact information
Practice address
940 FRONT ST SW, MABLETON, GA 30126-2233
(404) 517-4155
Mailing address
7173E COVINGTON HWY, STE 9B-1859, LITHONIA, GA 30058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
03/14/2023
Last updated
08/27/2024
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