Allgood Manor Assistant Home Inc.

NPI #1720318843 in Lithonia, Georgia

Provider Information

NPI Number
1720318843
Entity Type
Organization
Organization Name
Allgood Manor Assistant Home Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 12, 2010
Last Updated
Jan 12, 2010

Practice Location

Address
6358 DESHONG DR
State
Georgia
ZIP Code
30058-6123
Phone
(678) 526-9201

Authorized Official

Name
SOPHIA ANNMARIE DRUMMOND
Title
CEO
Phone
(678) 526-9201

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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