Organization
FELLOWSHIP SENIOR DAY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE NAAR (DIRECTOR)
(404) 766-6498
Entity
Organization
Contact information
Practice address
4530 JANICE DR, COLLEGE PARK, GA 30337-5204
(404) 766-6498
(404) 766-6419
Mailing address
4530 JANICE DR, COLLEGE PARK, GA 30337-5204
(404) 766-6498
(404) 766-6419
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
311500000X
Alzheimer Center (Dementia Center)
Primary
000682459B
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000682459B
—
GA
05
—
000682459C
—
GA
05
—
000682459D
—
GA
05
—
1013083278
—
GA
Enumeration date
01/31/2007
Last updated
10/05/2022
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