Organization
EDNA MAE LOCKETT PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANDA VAUSS (DIRECTOR)
(404) 969-8079
Entity
Organization
Contact information
Practice address
7566 UNION GROVE RD, LITHONIA, GA 30058-5081
(404) 969-8079
Mailing address
7566 UNION GROVE RD, LITHONIA, GA 30058-5081
(404) 969-8079
(770) 559-3598
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/18/2026
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