Stellavilla

NPI #1063541753 in Lithonia, Georgia

Provider Information

NPI Number: 1063541753
Entity Type: Organization
Organization Name: Stellavilla
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3848 CAIN MILL DR
City: Lithonia
State: Georgia
ZIP Code: 30038-3868
Phone: (770) 593-2539

Authorized Official

Name: MRS. CAROL DELORES SHAW
Title: DIRECTOR
Phone: (770) 593-2539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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