Organization · NPI-2

Aiden'S Place , LLC

Community Based Residential Treatment Facility, Mental Illness · Atlanta, GA

NPI number1508166927
StatusActive
Last updated in NPPESNov 1, 2010

Details

NPI
1508166927
Entity type
Organization (NPI-2)
Legal business name
Aiden'S Place , LLC
Organization subpart
No
Enumeration date
Nov 1, 2010
Last updated
Nov 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness060013808GAYes
310400000X Assisted Living Facility060013808GA
311Z00000X Custodial Care Facility060013808GA

Practice location

7370 Wright Dr
Atlanta, GA 30349-7911

Phone 404-244-3664 · Fax 404-393-6420

Mailing address

116 Falling Waters Dr
Jonesboro, GA 30236-5484

Phone 404-244-3664 · Fax 404-393-6420

Authorized official

Curtis L. Johnson
Owner
4042443664

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