Guardian Angels Adult Community Living LLC

NPI #1861789380 in Lithonia, Georgia

Provider Information

NPI Number: 1861789380
Entity Type: Organization
Organization Name: Guardian Angels Adult Community Living LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 5, 2011
Last Updated: Jul 5, 2011

Practice Location

Address: 6672 HILL CREEK CV
City: Lithonia
State: Georgia
ZIP Code: 30058-7001
Phone: (770) 666-4401

Authorized Official

Name: MS. CASSANDRA SIMONE HICKS
Title: HEALTH SYSTEMS MANAGER
Phone: (770) 666-4401

Specialties & Taxonomy Codes

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

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