Organization
YAHWEH A PERSONAL CARE HOME
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
LANAY LEESHAWN WILLIAMS OWNER (OWNER)
(404) 993-4404
Entity
Organization
Contact information
Practice address
8194 SAXON CT, JONESBORO, GA 30238-3020
(404) 993-4404
Mailing address
921 WESTMORELAND CIR NW APT 5302, ATLANTA, GA 30318-4030
(404) 993-4404
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH008552
GA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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