Organization
E.K.'S PERSONAL CARE HOME, LLC
Active
Other names
E.K.'S Personal Care Home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EARLEAN BLACKWELL (DIRECTOR/CEO)
(678) 491-0078
Entity
Organization
Contact information
Practice address
1865 WALDREP CIR SE, MARIETTA, GA 30060-4927
(678) 491-0078
Mailing address
1865 WALDREP CIR SE, MARIETTA, GA 30060-4927
(678) 491-0078
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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