Grace Tlc Assisted Living LLC

NPI #1205144391 in Lithonia, Georgia

Provider Information

NPI Number
1205144391
Entity Type
Organization
Organization Name
Grace Tlc Assisted Living LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 22, 2010
Last Updated
Sep 22, 2010

Practice Location

Address
6622 CHIAPUK CT
State
Georgia
ZIP Code
30038-3150
Phone
(678) 386-7182

Authorized Official

Name
HYACINTH ADAMS
Title
DIRECTOR/ OWNER
Phone
(678) 386-7182

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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