# 1804 INDEPENDENT ADULT CARE

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

## Provider details

- **NPI number:** 1609731355
- **Authorized official:** NATACHA PIERRE I (OWNER)
- **Authorized official phone:** (678) 673-4808

## Contact information

- **Practice address:** 1541 GUNSTOCK CT, HAMPTON, GA 30228-5935
- **Practice address phone:** (678) 673-4808
- **Mailing address:** 1541 GUNSTOCK CT, HAMPTON, GA 30228-5935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2025
- **Last updated:** 12/16/2025
