Home Away From Home

NPI #1992152490 in Mableton, Georgia

Provider Information

NPI Number: 1992152490
Entity Type: Organization
Organization Name: Home Away From Home
Primary Specialty: Respite Care
Enumeration Date: May 16, 2016
Last Updated: May 16, 2016

Practice Location

Address: 5031 GLORE RD SW
City: Mableton
State: Georgia
ZIP Code: 30126-5509
Phone: (770) 289-3682

Authorized Official

Name: MRS. VICKIE BURROW-JOHNSON
Title: OWNER
Phone: (770) 289-3682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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