| Graham Family Adult Daycare Inc. | |
|
115 Huntington Park Dr Fayetteville GA 30214-7720 | |
| (917) 567-3141 | |
| Not Available |
| Full Name | Graham Family Adult Daycare Inc. |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 115 Huntington Park Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Norman Graham (CEO) |
| Authorized Official Contact | 9175673141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Family Adult Daycare Inc. 115 Huntington Park Dr Fayetteville GA 30214-7720 Ph: (917) 567-3141 | Graham Family Adult Daycare Inc. 115 Huntington Park Dr Fayetteville GA 30214-7720 Ph: (917) 567-3141 |
| NPI Number | 1497332563 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 06/27/2022 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497332563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Primary |
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