person
Manuel Carl Mckenzie III
Adult Care Home Facility in Stone Mountain, Georgia
NPI 1356984041

Manuel Carl Mckenzie III is an Adult Care Home Facility based in Stone Mountain, GA and is specialized in Adult Care Home. Manuel Carl Mckenzie III practices in Stone Mountain, GA. The NPI Number for Manuel Carl Mckenzie III is 1356984041 and holds a License No. (Georgia).

The current practice location address for Manuel Carl Mckenzie III is 4893 Candlewood Ln, Stone Mountain, GA and can be reached out via phone at 770-896-1977. You can also correspond with Manuel Carl Mckenzie III through the mailing address at 4893 CANDLEWOOD LN, STONE MOUNTAIN, GA - 30088-1605 (mailing address contact number: 770-896-1977).

Location: 4893 Candlewood Ln, Stone Mountain, GA, 30088-1605
person
Provider Profile Details
NPI Number
1356984041
Provider Name
Manuel Carl Mckenzie III
Credential
Provider Entity Type
Individual
Gender
Male
Address
4893 Candlewood Ln, Stone Mountain, GA, 30088-1605
Phone Number
770-896-1977
Fax Number
Provider Enumeration Date
10/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4893 Candlewood Ln
City
State
Zip
30088-1605
Phone Number
770-896-1977
Fax Number
person
Provider Business Mailing Address Details
Address
4893 Candlewood Ln
City
State
Zip
30088-1605
Phone Number
770-896-1977
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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