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ADAM AND EVE ASSISTED LIVING COMMUNITY NPI 1013219450


NPI Information

NPI: 1013219450
Provider Name: ADAM AND EVE ASSISTED LIVING COMMUNITY
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
5169 COVINGTON HWY
DECATUR, GA
ZIP 30035
Phone: (770) 987-0390
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ADAM AND EVE ASSISTED LIVING COMMUNITY is a community based residential treatment facility, intellectual and/or developmental disabilities in Decatur, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ADAM AND EVE ASSISTED LIVING COMMUNITY NPI is 1013219450. The provider is registered as an organization entity type.

The provider's business location address is:

5169 COVINGTON HWY
DECATUR, GA
ZIP 30035-024
Phone: (770) 987-0390

The provider's authorized official is Evelyn Johnson .
The authorized official title is Owner and has the following contact phone number (770) 987-0390.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 11/17/2010.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities044014111GEORGIAYes

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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