NPI 1003117615

The Mary Washington Assisted Living Home, INC

Organisation Assisted Living Facility (Mental Illness) Stone Mountain, GA

Practice location

Address: 590 Mountain Oaks Pkwy, Stone Mountain, GA 30087-4732
Phone: (770) 469-0155
Fax: (770) 469-0155

Authorised official

Name: Tawana Gray
Title: Ceo
Phone: (770) 469-0155

Registered specialties (2)

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 044018141 (GA)

Other Assisted Living Facility providers in Georgia →

Assisted Living Facility (Behavioral Disturbances)

Nursing & Custodial Care Facilities Taxonomy 3104A0630X Licence 044018141 (GA)

Registry record

NPI: 1003117615
Entity type: Organization
NPI issued: 12 Nov 2010
Record last updated: 12 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.