Organization
WHAT A DAY ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMILL ALEAHA MALLORY (CO-DIRECTOR)
(770) 996-0775
Entity
Organization
Contact information
Practice address
177 COLLEGE ST, JONESBORO, GA 30236-3581
(770) 996-0775
(770) 478-2501
Mailing address
177 COLLEGE ST, JONESBORO, GA 30236-3581
(770) 996-0775
(770) 478-2501
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00967359A
—
GA
05
—
00967359B
—
GA
Enumeration date
06/20/2014
Last updated
06/20/2014
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