NPI 1700462199
Kenny's Personal Care Home
Practice location
- Address
- 4043 Big Valley Trl, Stone Mountain, GA 30083-5711
- Phone
- (770) 676-0766
- Fax
- (770) 676-0766
Authorised official
- Name
- Kenyon Lindsey
- Title
- Ceo
- Phone
- (770) 899-2849
Registered specialties (5)
Assisted Living Facility
Primary
Home Health Agency
Community/Behavioral Health Agency
In Home Supportive Care Agency
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1700462199
- Entity type
- Organization
- NPI issued
- 24 Mar 2021
- Record last updated
- 24 Mar 2021
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.