Whalio Doctors

NPI 1164726204

Intergrity Personal Care Home

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

Practice location

Address
4192 Kenwood Trl, Atlanta, GA 30349-1979
Phone
(404) 957-1991
Fax
(404) 963-5357

Authorised official

Name
Laura Kakulu Emuoyibo
Title
Administrator
Phone
(404) 957-1991

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1164726204
Entity type
Organization
NPI issued
4 Jan 2011
Record last updated
4 Jan 2011

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.