NPI 1013223098

My House INC

Organisation Adult Care Home Facility Snellville, GA

Practice location

Address: 2721 Raven Wood Dr, Snellville, GA 30078-3739
Phone: (770) 978-0791
Fax: (678) 325-1529
Mailing address: 2721 Ravenwood Drive, Snellville, GA 30078

Authorised official

Name: Donna Renee Brazil
Title: Director
Phone: (770) 978-0791

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 067011511 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1013223098
Entity type: Organization
NPI issued: 27 Aug 2010
Record last updated: 21 Oct 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.