# CHEROKEE ANGEL SENIOR CARE & TRAINING CENTER

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

## Provider details

- **NPI number:** 1871963553
- **Authorized official:** MR. DOMINIQUE R LOUIS (OWNER)
- **Authorized official phone:** (404) 918-3066

## Contact information

- **Practice address:** 2442 MARIETTA HWY, SUITE 100, CANTON, GA 30114-4023
- **Practice address phone:** (404) 918-3066
- **Mailing address:** 2442 MARIETTA HWY, SUITE 100, CANTON, GA 30114-4023
- **Mailing address phone:** (404) 918-3066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | ADC000107 | GA | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 10/06/2015