NPI 1083880629

Serenity Personal Care Residence

Organisation Adult Care Home Facility Stone Mountain, GA

Practice location

Address: 2327 Young Rd, Stone Mountain, GA 30088-4111
Phone: (678) 908-0921
Mailing address: 5506 Stoneleigh CT, Stone Mountain, GA 30088-3433

Authorised official

Name: Almon Thompson
Title: Owner Administrator
Phone: (678) 908-0921

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 044-01716-9 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1083880629
Entity type: Organization
NPI issued: 4 May 2008
Record last updated: 4 May 2008

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.