| Georgia Adult Day Center Inc | |
|
500 Lanier Ave W Ste 610 Fayetteville GA 30214-7644 | |
| (404) 829-2715 | |
| Not Available |
| Full Name | Georgia Adult Day Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 Lanier Ave W Ste 610, Fayetteville, Georgia |
| Authorized Official Name and Position | Rhonda Ann Crockett (OWNER/PRESIDENT) |
| Authorized Official Contact | 4048292715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Adult Day Center Inc 500 Lanier Ave W Ste 610 Fayetteville GA 30214-7644 Ph: (404) 829-2715 | Georgia Adult Day Center Inc 500 Lanier Ave W Ste 610 Fayetteville GA 30214-7644 Ph: (404) 829-2715 |
| NPI Number | 1346583234 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346583234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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