NPI 1447426093

Miners Creek Personal Care Home

Organisation Adult Care Home Facility Lithonia, GA

Practice location

Address: 4227 Miners Creek Rd, Lithonia, GA 30038-3814
Phone: (404) 641-6275
Mailing address: 5506 Stoneleigh CT, Stone Mountain, GA 30088-3433

Authorised official

Name: Virginia Mae Thompson
Title: Owner Administrator
Phone: (404) 641-6275

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 044017069 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1447426093
Entity type: Organization
NPI issued: 4 May 2008
Record last updated: 4 May 2008

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.