Big Mama House | |
707 Pennybrook Ln Stone Mountain GA 30087-5918 | |
(404) 538-6074 | |
Not Available |
Full Name | Big Mama House |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 707 Pennybrook Ln, Stone Mountain, Georgia |
Authorized Official Name and Position | Hanniyah Abdul Aziz (CEO/OWNER) |
Authorized Official Contact | 4045386074 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Big Mama House 707 Pennybrook Ln Stone Mountain GA 30087-5918 Ph: (404) 538-6074 | Big Mama House 707 Pennybrook Ln Stone Mountain GA 30087-5918 Ph: (404) 538-6074 |
NPI Number | 1659752491 |
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Provider Enumeration Date | 06/17/2015 |
Last Update Date | 06/17/2015 |
Identifier | Type | State | Issuer |
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1659752491 | NPI | - | NPPES |
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