Organization
HOPE & GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RIKIYA JI'NAY GUMBAYTAY (OWNER)
(404) 683-2007
Entity
Organization
Contact information
Practice address
5860 RONNIE DR, REX, GA 30273-1060
(770) 477-6417
Mailing address
2045 MOUNT ZION RD # 322, MORROW, GA 30260-3313
(770) 477-6417
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
031012888
GA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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