NPI 1841624095

Peaceful Love & Care

Organisation Adult Care Home Facility Stone Mountain, GA

Practice location

Address: 815 Pine Roc Dr, Stone Mountain, GA 30083-3521
Phone: (770) 374-0862
Fax: (470) 299-3170

Authorised official

Name: Jocelyn Lyn Hammpmd
Title: Home Health Aide
Phone: (770) 374-0862

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence CN0019212211 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1841624095
Entity type: Organization
NPI issued: 23 Aug 2013
Record last updated: 23 Aug 2013

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.