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Organization

GRACE TLC ASSISTED LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HYACINTH ADAMS (DIRECTOR/ OWNER)
(678) 386-7182
Entity
Organization

Contact information

Practice address
6622 CHIAPUK CT, LITHONIA, GA 30038-3150
(678) 386-7182
(770) 482-1609
Mailing address
6622 CHIAPUK CT, LITHONIA, GA 30038-3150
(678) 386-7182
(770) 482-1609

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
GA

Other

Enumeration date
09/22/2010
Last updated
09/22/2010
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