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BREAD OF LIFE ASSISTED LIVING CORPORATION NPI 1861740904


NPI Information

NPI: 1861740904
Provider Name: BREAD OF LIFE ASSISTED LIVING CORPORATION
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
2001 MARTIN LUTHER KING JR DR SW
SUITE 450-A
ATLANTA, GA
ZIP 30310
Phone: (678) 732-8191
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BREAD OF LIFE ASSISTED LIVING CORPORATION is an assisted living and mental illness assisted living facility in Atlanta, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. BREAD OF LIFE ASSISTED LIVING CORPORATION NPI is 1861740904. The provider is registered as an organization entity type.

The provider's business location address is:

2001 MARTIN LUTHER KING JR DR SW
SUITE 450-A
ATLANTA, GA
ZIP 30310-101
Phone: (678) 732-8191
Fax: (404) 564-6487

The provider's authorized official is Christine Nwankwo .
The authorized official title is Executive Director and has the following contact phone number (678) 732-8191.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 8/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementGEORGIANo
2251J00000XNursing CareGEORGIANo
33104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesGEORGIANo
43104A0625XAssisted Living FacilityAssisted Living, Mental IllnessGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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