Prestige Community Living Center

NPI #1548649494 in Atlanta, Georgia

Provider Information

NPI Number: 1548649494
Entity Type: Organization
Organization Name: Prestige Community Living Center
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 26, 2015
Last Updated: May 26, 2015

Practice Location

Address: 2328 BIGWOOD TRL
City: Atlanta
State: Georgia
ZIP Code: 30349-9049
Phone: (678) 983-4330

Authorized Official

Name: ADEYEMI MAKANJUOLA
Title: CEO
Phone: (678) 761-5414

Specialties & Taxonomy Codes

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

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