NPI 1063541753

Stellavilla

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Lithonia, GA

Practice location

Address: 3848 Cain Mill Dr, Lithonia, GA 30038-3868
Phone: (770) 593-2539
Fax: (770) 593-0691

Authorised official

Name: Carol Delores Shaw
Title: Director
Phone: (770) 593-2539

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1063541753
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 22 Aug 2020

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.