NPI 1356874457

A Natural Passion for Caring

Organisation Adult Care Home Facility Lawrenceville, GA

Practice location

Address: 1419 Dulwich CT, Lawrenceville, GA 30043-7536
Phone: (404) 997-0340

Authorised official

Name: Misty Jordan
Title: Owner/Admin
Phone: (470) 429-8808

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 067-01-498-9 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1356874457
Entity type: Organization
NPI issued: 5 Apr 2017
Record last updated: 5 Apr 2017

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.