MANUEL CARL MCKENZIE NPI 1356984041

NPI Information

NPI: 1356984041
Provider Name: MANUEL CARL MCKENZIE
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Individual

Specialization: Adult Care Home

Address:
4893 CANDLEWOOD LN
STONE MOUNTAIN, GA
ZIP 30088
Phone: (770) 896-1977
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Manuel Carl Mckenzie is an adult care home custodial care facility in Stone Mountain, 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. Manuel Carl Mckenzie NPI is 1356984041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4893 CANDLEWOOD LN
STONE MOUNTAIN, GA
ZIP 30088-605
Phone: (770) 896-1977

The enumeration date for this NPI number is 10/24/2019 and was last updated on 10/24/2019.

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	311ZA0620X	Custodial Care Facility	Adult Care Home			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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