National Provider Identifier Database

PEACE PERSONAL CARE HOME
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

PEACE PERSONAL CARE HOME
1352 REGAL HEIGHTS DRIVE
LITHONIA, GA30058
Phone: 770-482-8215
Fax: 770-482-8215
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for PEACE PERSONAL CARE HOME

NPI Number 1437481116
Legal business name
LBN
PEACE PERSONAL CARE HOME
Authorized official WILLIE SMITH - (DIRECTOR/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/05/2010
Last updated 10/25/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 00157470

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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