NPI 1477859841

Fairview Community Personal Care Home, INC.

Organisation Assisted Living Facility (Mental Illness) Conyers, GA

Practice location

Address: 2470 Fairview Rd SE, Conyers, GA 30013-4919
Phone: (770) 785-7800
Fax: (678) 609-1387

Authorised official

Name: Montilia Maurice Tripp
Title: President/Ceo
Phone: (678) 570-3149

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 107-01-054-1 (GA)

Other Assisted Living Facility providers in Georgia →

Registry record

NPI: 1477859841
Entity type: Organization
NPI issued: 2 Feb 2011
Record last updated: 18 Feb 2011

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.