| Options For Supported Living | |
|
2296 Henderson Mill Rd Ne Atlanta GA 30345-2739 | |
| (770) 414-1350 | |
| Not Available |
| Full Name | Options For Supported Living |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2296 Henderson Mill Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Deena Ombres (PRIVACY OFFICER) |
| Authorized Official Contact | 5023942387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Options For Supported Living 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (800) 866-0860 | Options For Supported Living 2296 Henderson Mill Rd Ne Atlanta GA 30345-2739 Ph: (770) 414-1350 |
| NPI Number | 1063539013 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063539013 | NPI | - | NPPES |
| 000755543A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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