Organization
BREAD OF LIFE ASSISTED LIVING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE NWANKWO (EXECUTIVE DIRECTOR)
(678) 732-8191
Entity
Organization
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW, SUITE 450-A, ATLANTA, GA 30310-1101
(678) 732-8191
(404) 564-6487
Mailing address
2001 MARTIN LUTHER KING JR DR SW, SUITE 450-A, ATLANTA, GA 30310-1101
(678) 732-8191
(404) 564-6487
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
GA
251J00000X
Nursing Care Agency
—
GA
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
GA
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
GA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up