NPI 1942571625

Lowes Guardian Angel LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Riverdale, GA

Practice location

Address: 7056 Eunice Dr., Riverdale, GA 30274
Phone: (678) 586-3171
Mailing address: 7056 Eunice Dr, Riverdale, GA 30274-3152

Authorised official

Name: Glenn Alan Lowe
Title: Ddp
Phone: (404) 808-4859

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 251911340 (GA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Registry record

NPI: 1942571625
Entity type: Organization
NPI issued: 26 Jan 2012
Record last updated: 26 Jan 2012

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.