NPI 1720395270

Serving One of US

Organisation Developmentally Disabled Services Day Training Agency Lithonia, GA

Practice location

Address: 1544 Wellborn Rd #3, Lithonia, GA 30058-5492
Phone: (404) 428-2749
Fax: (770) 786-0499

Authorised official

Name: Shirley Walker Worthy
Title: Owner/Director/Administrator
Phone: (404) 428-2749

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 600242281A (GA)

Other Day Training, Developmentally Disabled Services providers in Georgia →

Registry record

NPI: 1720395270
Entity type: Organization
NPI issued: 4 Sep 2010
Record last updated: 4 Sep 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.