Organization
YOUR BEAUTIFUL DAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELANI NURSE (OWNER)
(404) 723-1832
Entity
Organization
Contact information
Practice address
1040 WILLOW CREST LNDG, AUSTELL, GA 30168-5737
(213) 435-5630
Mailing address
1040 WILLOW CREST LNDG, AUSTELL, GA 30168-5737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021-006696
PCH PERMIT NUMBER
GA
Enumeration date
10/07/2021
Last updated
10/07/2021
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