Miners Creek Personal Care Home

NPI #1447426093 in Lithonia, Georgia

Provider Information

NPI Number
1447426093
Entity Type
Organization
Organization Name
Miners Creek Personal Care Home
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
May 4, 2008
Last Updated
May 4, 2008

Practice Location

Address
4227 MINERS CREEK RD
State
Georgia
ZIP Code
30038-3814
Phone
(404) 641-6275

Authorized Official

Name
MS. VIRGINIA MAE THOMPSON
Title
OWNER ADMINISTRATOR
Phone
(404) 641-6275

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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