Organization
ETERNAL HOPE AND LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN DENNARD (CEO)
(404) 591-5131
Entity
Organization
Contact information
Practice address
7349 POPPY WAY, UNION CITY, GA 30291-3411
(404) 591-5131
(404) 420-2483
Mailing address
2045 MOUNT ZION RD # 337, MORROW, GA 30260-3313
(404) 591-5131
(404) 420-2483
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
060013798
GA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
060013798
GA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
060013798
GA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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