Edna Mae Lockett Personal Care Home

NPI #1922549070 in Lithonia, Georgia

Provider Information

NPI Number
1922549070
Entity Type
Organization
Organization Name
Edna Mae Lockett Personal Care Home
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Mar 8, 2017
Last Updated
Mar 8, 2017

Practice Location

Address
7566 UNION GROVE RD
State
Georgia
ZIP Code
30058-5081
Phone
(404) 969-8079

Authorized Official

Name
TAWANDA HORTON
Title
DIRECTOR
Phone
(404) 969-8079

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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