NPI 1508223801

Inexequation LLC

Organisation Physical Disabilities Residential Treatment Facility Lithonia, GA

Practice location

Address: 5850 Hillandale Dr, Lithonia, GA 30058
Phone: (678) 876-6414
Mailing address: 5850 Hillandale Dr, Lithonia, GA 30058-4927

Authorised official

Name: Andre Lamar Fernandez
Title: Workplace Wellness
Phone: (678) 876-6413

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 15104206 (GA)

Other Residential Treatment Facility, Physical Disabilities providers in Georgia →

Registry record

NPI: 1508223801
Entity type: Organization
NPI issued: 19 Jan 2016
Record last updated: 19 Jan 2016

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.