NPI 1568342731
Madear's Place Personal Care Home LLC
Practice location
- Address
- 4664 Vienna Church Rd, Valdosta, GA 31605-5524
- Phone
- (229) 234-2734
Authorised official
- Name
- Theresa Patterson
- Title
- Owner
- Phone
- (229) 269-6039
Registered specialties (3)
Adult Care Home Facility
Primary
Assisted Living Facility (Mental Illness)
Assisted Living Facility (Behavioral Disturbances)
Registry record
- NPI
- 1568342731
- Entity type
- Organization
- NPI issued
- 6 Sep 2025
- Record last updated
- 6 Sep 2025
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.