Organization
ADAM AND EVE ASSISTED LIVING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN JOHNSON (OWNER)
(770) 987-0390
Entity
Organization
Contact information
Practice address
5169 COVINGTON HWY, DECATUR, GA 30035-2024
(770) 987-0390
Mailing address
5169 COVINGTON HWY, DECATUR, GA 30035
(770) 987-0390
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
044014111
GA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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