SID'S PLACE INCORPORATED

Assisted Living Facility

Active Organization
NPI: 1174823595

Practice Address

2742 LUKE DR
Ellenwood, GA 30294

Phone: (678) 557-8969

Specialties

Specialty Code Primary License
Community Based Residential Treatment Facility, Mental Illness 320800000X No 031012928 (GA)
Assisted Living Facility 310400000X Yes 031012928 (GA)

Frequently Asked Questions

NPI 1174823595 is the National Provider Identifier for SID'S PLACE INCORPORATED, a Assisted Living Facility provider located in Ellenwood, GA. This NPI was enumerated on November 1, 2010.

Quick Facts

NPI
1174823595
Type
Organization
Enumerated
Nov 1, 2010
Last Updated
Nov 1, 2010

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