NPI 1255723813

Cotter Personal Care Home LLC

Organisation Physical Disabilities Residential Treatment Facility Union City, GA

Practice location

Address: 5146 Cotter Dr, Union City, GA 30291-1812
Phone: (770) 226-4244
Mailing address: PO Box 310147, Atlanta, GA 31131-0147

Authorised official

Name: Urick Ladonis
Title: Owner
Phone: (770) 226-4244

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 241816 (GA)

Other Residential Treatment Facility, Physical Disabilities providers in Georgia →

Registry record

NPI: 1255723813
Entity type: Organization
NPI issued: 19 Feb 2015
Record last updated: 19 Feb 2015

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.