NPI 1679889307

St. Benedict Personal Care Home, INC.

Organisation Assisted Living Facility Mableton, GA

Practice location

Address: 1130 Vonda Ln SW, Mableton, GA 30126-3024
Phone: (678) 401-4788
Fax: (678) 401-4786

Authorised official

Name: Cassandra Freeman
Title: Owner
Phone: (678) 401-4788

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 033012821 (GA)

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Registry record

NPI: 1679889307
Entity type: Organization
NPI issued: 18 Aug 2010
Record last updated: 18 Aug 2010

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.