NPI 1972265478

E.K.'s Personal Care Home, LLC

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

Practice location

Address: 1865 Waldrep Cir SE, Marietta, GA 30060-4927
Phone: (678) 491-0078

Authorised official

Name: Earlean Blackwell
Title: Director/Ceo
Phone: (678) 491-0078

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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

Registry record

NPI: 1972265478
Entity type: Organization
NPI issued: 12 Oct 2021
Record last updated: 12 Oct 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.