NPI 1548439953

Ageless Health Care & Assisted Living

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Lithonia, GA

Practice location

Address: 1300 Rock Chapel Rd, Lithonia, GA 30058-5835
Phone: (678) 526-5464

Authorised official

Name: Jacqueline Pean
Title: Owner
Phone: (678) 526-5464

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Registry record

NPI: 1548439953
Entity type: Organization
NPI issued: 29 Feb 2008
Record last updated: 29 Feb 2008

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.