Ageless Health Care & Assisted Living

NPI #1548439953 in Lithonia, Georgia

Provider Information

NPI Number: 1548439953
Entity Type: Organization
Organization Name: Ageless Health Care & Assisted Living
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 29, 2008
Last Updated: Feb 29, 2008

Practice Location

Address: 1300 ROCK CHAPEL RD
City: Lithonia
State: Georgia
ZIP Code: 30058-5835
Phone: (678) 526-5464

Authorized Official

Name: JACQUELINE PEAN
Title: OWNER
Phone: (678) 526-5464

Specialties & Taxonomy Codes

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

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