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EXTON LLC NPI 1376978155


NPI Information

NPI: 1376978155
Provider Name: EXTON LLC

Doing Business As: TIARA'S ADULT PERSONAL CARE HOME

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
220 PRICE RD
FAYETTEVILLE, GA
ZIP 30215
Phone: (770) 719-3577
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EXTON LLC is an adult care home custodial care facility in Fayetteville, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. EXTON LLC NPI is 1376978155. The provider is registered as an organization entity type.
The provider Is Doing Business As Tiara's Adult Personal Care Home.

The provider's business location address is:

220 PRICE RD
FAYETTEVILLE, GA
ZIP 30215-019
Phone: (770) 719-3577
Fax: (678) 389-4783

The provider's authorized official is Tina Topping .
The authorized official title is Ceo and has the following contact phone number (770) 369-7355.

The enumeration date for this NPI number is 9/11/2013 and was last updated on 9/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home05601017-1GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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