NPI 1881924892

Lgd Psychological Services

Organisation Adult Care Home Facility Stone Mountain, GA

Practice location

Address: 5438 Redwood CT, Stone Mountain, GA 30087-5758
Phone: (770) 469-6794
Fax: (770) 469-6794

Authorised official

Name: Linda Gail Dennard
Title: President
Phone: (770) 469-6794

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence CSW002671 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1881924892
Entity type: Organization
NPI issued: 14 Jan 2010
Record last updated: 14 Jan 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.