NPI 1417293564
Changing Lives Today
Practice location
- Address
- 3240 Ancoats St, Douglasville, GA 30135-8199
- Phone
- (678) 365-8349
Authorised official
- Name
- Alvin Lamar Terrell
- Title
- President
- Phone
- (678) 365-8349
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1417293564
- Entity type
- Organization
- NPI issued
- 18 Dec 2012
- Record last updated
- 18 Dec 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.