Individual
LAKITA RUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6602 DEKEON DR, ATLANTA, GA 30349-8862
(404) 883-1575
Mailing address
6602 DEKEON DR, ATLANTA, GA 30349-8862
(404) 883-1575
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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