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PEACE PERSONAL CARE HOME NPI 1437481116


NPI Information

NPI: 1437481116
Provider Name: PEACE PERSONAL CARE HOME
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1352 REGAL HEIGHTS DRIVE
LITHONIA, GA
ZIP 30058
Phone: (770) 482-8215
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PEACE PERSONAL CARE HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Lithonia, 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. PEACE PERSONAL CARE HOME NPI is 1437481116. The provider is registered as an organization entity type.

The provider's business location address is:

1352 REGAL HEIGHTS DRIVE
LITHONIA, GA
ZIP 30058
Phone: (770) 482-8215
Fax: (770) 482-8215

The provider's authorized official is Willie Mae Smith .
The authorized official title is Director/manager and has the following contact phone number (770) 482-8215.

The enumeration date for this NPI number is 2/5/2010 and was last updated on 10/25/2012.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities00157470GEORGIANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities00157470GEORGIAYes

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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