NPI 1043526551
Southern Community Living
Practice location
- Address
- 155 Westridge Pkwy, McDonough, GA 30253-3049
- Phone
- (678) 588-3789
- Fax
- (678) 610-5604
- Mailing address
- 537 Cold Water Ln, McDonough, GA 30252-8066
Authorised official
- Name
- Felicia Miller
- Title
- Director
- Phone
- (678) 588-3789
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1043526551
- Entity type
- Organization
- NPI issued
- 20 Aug 2010
- Record last updated
- 20 Aug 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.