Organization
EN VIDA ADULT DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATARRA ASHLEY (OWNER)
(404) 956-9698
Entity
Organization
Contact information
Practice address
150 MEDICAL WAY STE E, RIVERDALE, GA 30274-2533
(404) 956-9698
Mailing address
949 CHURCH ST, DECATUR, GA 30030-1872
(404) 956-9698
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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