| Grace Tlc Assisted Living Llc | |
|
6622 Chiapuk Ct Lithonia GA 30038-3150 | |
| (678) 386-7182 | |
| (770) 482-1609 |
| Full Name | Grace Tlc Assisted Living Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6622 Chiapuk Ct, Lithonia, Georgia |
| Authorized Official Name and Position | Hyacinth Adams (DIRECTOR/ OWNER) |
| Authorized Official Contact | 6783867182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Tlc Assisted Living Llc 6622 Chiapuk Ct Lithonia GA 30038-3150 Ph: (678) 386-7182 | Grace Tlc Assisted Living Llc 6622 Chiapuk Ct Lithonia GA 30038-3150 Ph: (678) 386-7182 |
| NPI Number | 1205144391 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205144391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
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