Peace Personal Care Home

NPI #1437481116 in Lithonia, Georgia

Provider Information

NPI Number: 1437481116
Entity Type: Organization
Organization Name: Peace Personal Care Home
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 5, 2010
Last Updated: Oct 25, 2012

Practice Location

Address: 1352 REGAL HEIGHTS DRIVE
City: Lithonia
State: Georgia
ZIP Code: 30058
Phone: (770) 482-8215

Authorized Official

Name: MS. WILLIE MAE SMITH
Title: DIRECTOR/MANAGER
Phone: (770) 482-8215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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