MASALON PERSONAL CARE HOME INC. NPI 1306468228

NPI Information

NPI: 1306468228
Provider Name: MASALON PERSONAL CARE HOME INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3952 ROCKBRIDGE RD
STONE MOUNTAIN, GA
ZIP 30083
Phone: (917) 826-4317
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MASALON PERSONAL CARE HOME INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Stone Mountain, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MASALON PERSONAL CARE HOME INC. NPI is 1306468228. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3952 ROCKBRIDGE RD
STONE MOUNTAIN, GA
ZIP 30083-170
Phone: (917) 826-4317

The provider's authorized official is Makesa Mamie Fofana .
The authorized official title is Owner and has the following contact phone number (917) 826-4317.

The enumeration date for this NPI number is 5/13/2020 and was last updated on 5/13/2020.

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
1	3747P1801X	Technician	Personal Care Attendant			No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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

NPI Synchronization or Removal

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