Organization
FAITH DWELLINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA TERESA ASHE (CEO/ADMINISTRATOR)
(404) 578-6461
Entity
Organization
Contact information
Practice address
4666 RANDALWOOD DR, STONE MOUNTAIN, GA 30083-4350
(404) 343-4840
(678) 705-5512
Mailing address
4666 RANDALWOOD DR, STONE MOUNTAIN, GA 30083-4350
(404) 343-4840
(678) 705-5512
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CLA001274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056582532A
—
GA
Enumeration date
06/10/2015
Last updated
06/10/2015
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