Organization
SUNSHINE DREAMASSISTED LIVING LLC
Active
Parent organization
SUNSHINE DREAM ASSISTED LIVING LLC
Other names
Sunshine Dream CLA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNSHINE DREAM ASSISTED LIVING LLC
Authorized official
MRS. BRENDA A SMITH (CEO/DIRECTOR)
(404) 510-3888
Entity
Organization
Contact information
Practice address
4841 LENORA CHURCH RD, SNELLVILLE, GA 30039-7707
(404) 510-3888
(678) 344-4261
Mailing address
4841 LENORA CHURCH RD, SNELLVILLE, GA 30039-7707
(404) 510-3888
(678) 344-4261
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CLA000930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124871A
—
GA
Enumeration date
07/25/2012
Last updated
07/25/2012
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