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Lowes Guardian Angel Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Riverdale, Georgia
NPI 1942571625

Lowes Guardian Angel Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Riverdale, GA. Lowes Guardian Angel Llc practices in Riverdale, GA. The NPI Number for Lowes Guardian Angel Llc is 1942571625 and holds a License No. 251911340 (Georgia).

The current practice location address for Lowes Guardian Angel Llc is 7056 Eunice Dr., Riverdale, GA and can be reached out via phone at 678-586-3171.

Location: 7056 Eunice Dr., Riverdale, GA, 30274-3152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942571625
Provider Name
Lowes Guardian Angel Llc
Credential
Provider Entity Type
Organization
Address
7056 Eunice Dr., Riverdale, GA, 30274-3152
Phone Number
678-586-3171
Fax Number
Provider Enumeration Date
01/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
251911340 01 GA DBHDD DEVELOPMENTAL DISABILITIES PROVIDER
institution
Provider Business Practice Location Address Details
Address
7056 Eunice Dr.
City
Riverdale
State
Georgia
Zip
30274
Phone Number
678-586-3171
Fax Number
person
Provider Business Mailing Address Details
Address
7056 Eunice Dr.
City
Riverdale
State
Georgia
Zip
30274
Phone Number
678-586-3171
Fax Number
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.
251911340 (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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