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Southern International Living, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Point, Georgia
NPI 1629207733

Southern International Living, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in East Point, GA. Southern International Living, Inc practices in East Point, GA. The NPI Number for Southern International Living, Inc is 1629207733 and holds a License No. CLA001010 (Georgia).

The current practice location address for Southern International Living, Inc is 3437 Mount Olive Rd, East Point, GA and can be reached out via phone at 404-547-1291 and via fax at 404-551-3549.

Location: 3437 Mount Olive Rd, East Point, GA, 30344-5812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629207733
Provider Name
Southern International Living, Inc
Credential
Provider Entity Type
Organization
Address
3437 Mount Olive Rd, East Point, GA, 30344-5812
Phone Number
404-547-1291
Fax Number
404-551-3549
Provider Enumeration Date
07/09/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
181308327A 05 GA
institution
Provider Business Practice Location Address Details
Address
3437 Mount Olive Rd
City
East Point
State
Georgia
Zip
30344-5812
Phone Number
404-547-1291
Fax Number
404-551-3549
person
Provider Business Mailing Address Details
Address
3437 Mount Olive Rd
City
East Point
State
Georgia
Zip
30344-5812
Phone Number
404-547-1291
Fax Number
404-551-3549
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
CLA001010 (Georgia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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