NPI 1366075848
Liagiba, INC
Practice location
- Address
- 518 Lake Michele CT, Stone Mountain, GA 30088-1401
- Phone
- (770) 365-6820
- Fax
- (678) 528-3017
Authorised official
- Name
- Evan Williams
- Title
- Ceo/Owner
- Phone
- (770) 365-6820
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1366075848
- Entity type
- Organization
- NPI issued
- 13 Feb 2020
- Record last updated
- 13 Feb 2020
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.