# SUPPLEMENTAL HEALTH CARE

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

## Provider details

- **NPI number:** 1700291671
- **Authorized official:** MICHELLE DISHNER OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (770) 354-0883

## Contact information

- **Practice address:** 2631 N DRUID HILLS RD NE, ATLANTA, GA 30329-3529
- **Practice address phone:** (404) 325-7994
- **Practice address fax:** (866) 902-7889
- **Mailing address:** 2648 E MADISON DR, ATLANTA, GA 30360-2027
- **Mailing address phone:** (770) 354-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 06/30/2014