Organization
GEORGIA RESIDENTIAL AND COMMUNITY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IYABO AKINTOMIDE RN (DIRECTOR/ADMINISTRATOR)
(678) 860-7332
Entity
Organization
Contact information
Practice address
5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
(770) 987-7053
(770) 987-5571
Mailing address
5644 HUNTERS CROSSING CT, LITHONIA, GA 30038-1529
(770) 987-7053
(770) 987-5571
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
044-01-574-1
GA
Other
Enumeration date
06/12/2011
Last updated
06/12/2011
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