NPI 1487842282

A Unique Personal Care Home,inc.

Organisation Assisted Living Facility Conyers, GA

Practice location

Address: 1517 Bordeaux Ln, Conyers, GA 30094-1109
Phone: (770) 679-4437
Mailing address: 4127 Kingship Dr, Ellenwood, GA 30294-4211

Authorised official

Name: Angela Lecounte Wiley
Title: Ceo
Phone: (678) 595-4938

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Georgia →

Registry record

NPI: 1487842282
Entity type: Organization
NPI issued: 7 Oct 2007
Record last updated: 7 Oct 2007

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.