Organization
GUEST HOUSE 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIANA AUGUSTUS (CEO)
(404) 421-1915
Entity
Organization
Contact information
Practice address
4905 JONESBORO RD, UNION CITY, GA 30291-1919
(770) 703-4825
Mailing address
4905 JONESBORO RD, UNION CITY, GA 30291-1919
(770) 703-4825
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/08/2025
Last updated
01/28/2026
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