| Your Beautiful Days Llc | |
|
1040 Willow Crest Lndg Austell GA 30168-5737 | |
| (213) 435-5630 | |
| Not Available |
| Full Name | Your Beautiful Days Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1040 Willow Crest Lndg, Austell, Georgia |
| Authorized Official Name and Position | Jelani Nurse (OWNER) |
| Authorized Official Contact | 4047231832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Beautiful Days Llc 1040 Willow Crest Lndg Austell GA 30168-5737 Ph: () - | Your Beautiful Days Llc 1040 Willow Crest Lndg Austell GA 30168-5737 Ph: (213) 435-5630 |
| NPI Number | 1043972987 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/07/2021 |
| Certification Date | 09/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043972987 | NPI | - | NPPES |
| 2021-006696 | Other | GA | PCH PERMIT NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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