Organization
OUR PARENTS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN T BELOVED (CEO)
(404) 917-6643
Entity
Organization
Contact information
Practice address
7081 SOUTHLAKE PARKWAY, MORROW, GA 30260
(404) 917-6643
Mailing address
7081 SOUTHLAKE PARKWAY, MORROW, GA 30260
(404) 917-6643
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
00000000011
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000000
—
GA
05
—
000000000012
—
GA
Enumeration date
09/29/2010
Last updated
09/29/2010
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