Organization
DESTINY ADULT HOME DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VELENA MIXON (OWNER/DIRECTOR)
(404) 434-6711
Entity
Organization
Contact information
Practice address
3363 PINEGATE TRL, SNELLVILLE, GA 30039-8815
(770) 648-6960
Mailing address
3363 PINEGATE TRL, SNELLVILLE, GA 30039-8815
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
2012013672
GA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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