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Organization

UL LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIA DRAIN (DIRECTOR)
(404) 517-4155
Entity
Organization

Contact information

Practice address
940 FRONT ST SW, MABLETON, GA 30126-2233
(404) 517-4155
Mailing address
7173E COVINGTON HWY, STE 9B-1859, LITHONIA, GA 30058

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
03/14/2023
Last updated
08/27/2024
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