NPI 1619367968

Angel I a M Care, INC.

Organisation Developmentally Disabled Services Day Training Agency Tucker, GA

Practice location

Address: 2260 Northlake Parkway Suite 100, Tucker, GA 30084
Phone: (877) 394-7779
Fax: (877) 394-7779
Mailing address: 2260 Northlake Pkwy Suite 100, Tucker, GA 30084-4036

Authorised official

Name: Demira Beckwith
Title: Administrator, Executive
Phone: (877) 394-7779

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Georgia →

Registry record

NPI: 1619367968
Entity type: Organization
NPI issued: 26 Jan 2015
Record last updated: 26 Jan 2015

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.