Organization
ABC HEALTHCARE OF AMERICA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHILOMENA WRIGHT RN (ADMINISTRATOR)
(678) 612-2395
Entity
Organization
Contact information
Practice address
5756 HARRIER LN, ATLANTA, GA 30349-8868
(678) 612-2395
(678) 519-3043
Mailing address
5756 HARRIER LN, ATLANTA, GA 30349-8868
(678) 612-2395
(678) 519-3043
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522154775A
—
GA
Enumeration date
12/15/2010
Last updated
12/15/2010
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