Healthcare Provider Details

I. General information

NPI: 1205684511
Provider Name (Legal Business Name): KINDRED HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2024
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 JONESBORO RD SE FL 4
ATLANTA GA
30315-5314
US

IV. Provider business mailing address

1800 JONESBORO RD SE FL 4
ATLANTA GA
30315-5314
US

V. Phone/Fax

Practice location:
  • Phone: 678-515-4974
  • Fax:
Mailing address:
  • Phone: 678-515-4974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA NEAL
Title or Position: OWNER
Credential:
Phone: 404-671-7498