NPI 1447551320

Reprah Enterprise,llc

Organisation Physical Disabilities Residential Treatment Facility Stone Mountain, GA

Practice location

Address: 927 Granite Springs Ln, Stone Mountain, GA 30083-5102
Phone: (404) 246-4544
Fax: (404) 755-7609

Authorised official

Name: Nicole Harper
Title: Owner
Phone: (404) 246-4544

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 044016701 (GA)

Other Residential Treatment Facility, Physical Disabilities providers in Georgia →

Registry record

NPI: 1447551320
Entity type: Organization
NPI issued: 9 Nov 2010
Record last updated: 24 Jul 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.