Organization
PEOPLES HOUSE ATL 1 LLC
Active
Other names
Peoples House
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PEOPLES (CEO)
(314) 665-5206
Entity
Organization
Contact information
Practice address
707 PARK AVE NE APT 1380, ATLANTA, GA 30326-3410
(314) 665-5206
Mailing address
707 PARK AVE NE APT 1380, ATLANTA, GA 30326-3410
(314) 665-5206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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