WONDER YEARS PERSONAL CARE HOME
Residential Treatment Facilities at Old Salem Rd, Conyers, GA

License number
Georgia 124269217A
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. ANGELA B TILLMAN
Title: OWNER
Phone: (773) 354-5040
Address
Address
3321 Old Salem Rd SE, Conyers, GA 30013
National Provider ID: 1235449893
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WONDER YEARS PERSONAL CARE HOME INC

3321 Old Salem Rd, Conyers, GA 30013

Industry:
Nursing/Personal Care
Registration:
Mar 4, 2008
State ID:
08018555
Business type:
Domestic Profit Corporation
Owners:
B Angela Tillman (CEO), 3388 Concord Cor SE, Conyers, GA 30013 (Physical),Marianna Smith (Secretary), 2119 N Mason, Chicago, IL 60639 (Physical),C Teniesha Tillman (CFO), 3321 Old Salem Rd, Conyers, GA 30013 (Physical),...
Agent:
Angela Tillman,3321 Old Salem Rd, Conyers, GA (Physical)

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