NPI 1083963607

Destiny Adult Home Day Care

Organisation Adult Care Home Facility Snellville, GA

Practice location

Address: 3363 Pinegate Trl, Snellville, GA 30039-8815
Phone: (770) 648-6960

Authorised official

Name: Velena Mixon
Title: Owner/Director
Phone: (404) 434-6711

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 2012013672 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1083963607
Entity type: Organization
NPI issued: 29 Aug 2012
Record last updated: 29 Aug 2012

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.