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Organization

AIDEN'S PLACE , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CURTIS L. JOHNSON (OWNER)
(404) 244-3664
Entity
Organization

Contact information

Practice address
7370 WRIGHT DR, ATLANTA, GA 30349-7911
(404) 244-3664
(404) 393-6420
Mailing address
116 FALLING WATERS DR, JONESBORO, GA 30236-5484
(404) 244-3664
(404) 393-6420

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
060013808
GA
311Z00000X
Custodial Care Facility
060013808
GA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
060013808
GA

Other

Enumeration date
11/01/2010
Last updated
11/01/2010
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