Organization
SKYLARK ADH-JOHNS CREEK, LLC
Active
Parent organization
SKYLARK SENIOR CARE, LLC
Other names
Skylark Adult Day Center of Johns Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKYLARK SENIOR CARE, LLC
Authorized official
MR. EDWIN HOWARD MORGENS (CEO)
(770) 476-8400
Entity
Organization
Contact information
Practice address
4265 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024-6038
(770) 476-8400
(678) 646-0602
Mailing address
4265 JOHNS CREEK PKWY STE B, SUWANEE, GA 30024-6038
(770) 476-8400
(678) 646-0602
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC000089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383600128A
—
GA
05
—
383600128B
—
GA
05
—
718343569A
—
GA
Enumeration date
03/16/2017
Last updated
03/16/2017
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