NEW DOMUS PERSONAL CARE, LLC
Residential Treatment Facilities at Colonial Dr, Atlanta, GA

License number
Georgia 060-01-256-2
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. JACKIE OTHELLA SMITH JR.
Title: CEO
Phone: (770) 996-6588
Address
Address 2
2650 Colonial Dr, Atlanta, GA 30337
6229 Johnson Rd, Riverdale, GA 30274
National Provider ID: 1639377385
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NEW DOMUS PERSONAL CARE, LLC at bizstanding.com

NEW DOMUS PERSONAL CARE, LLC

6229 Johnson Rd, Riverdale, GA 30274

Registration:
May 16, 2002
State ID:
0225782
Business type:
Domestic Limited Liability Company
Agent:
Jackie Smith,6229 Johnson Rd, Riverdale, GA (Physical)

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