NPI 1447650601

A Cherished Life, Enrichment Center

Organisation Private Vehicle Douglasville, GA

Practice location

Address: 6453 Spring St, Douglasville, GA 30134-1866
Phone: (678) 214-5955
Mailing address: PO Box 6036, Douglasville, GA 30154-0018

Authorised official

Name: Rasheeda Whitaker
Title: Director
Phone: (678) 214-5955

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 054957964 (GA)

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Registry record

NPI: 1447650601
Entity type: Organization
NPI issued: 25 Aug 2014
Record last updated: 25 Aug 2014

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.