Yilla Personal Care Home, Inc

NPI 1467769398 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1467769398
Enumeration Date 09/14/2010
Last Updated 06/02/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RACQUEL RACQUEL
Position CEO
Phone (631) 848-3740
Fax (770) 783-6604
Practice Location
6226 WINDY RIDGE TRL
LITHONIA GA, 30058-6625, US
Phone (631) 848-3740
Fax (770) 783-6604
Business Location
6226 WINDY RIDGE TRL
LITHONIA GA, 30058-6625, US
Phone (631) 848-3740
Fax (770) 783-6604
Toxanomy
Taxonomy Code 251S00000X
License State Georgia
License Number 044-01-850-2
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According to our database, Yilla Personal Care Home, Inc NPI is 1467769398, taxonomy code is 251S00000X and license number is 044-01-850-2, license state is located at Georgia. Yilla Personal Care Home, Inc physically located at 6226 Windy Ridge Trl, Lithonia GA, 30058-6625. NPI Number 1033115704 has the healthcare provider type.

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1467769398 NPI number is provided on an as is basis without warranty of any kind. 1467769398 is maintained by the National Plan & Provider Enumeration System. The contents of Yilla Personal Care Home, Inc are for informational purposes only.