Healthcare Provider Details

I. General information

NPI: 1386915452
Provider Name (Legal Business Name): A PEACE OF MIND ADULT DAY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2012
Last Update Date: 01/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 AUSTELL RD SW SUITE 1063
MARIETTA GA
30008-5769
US

IV. Provider business mailing address

3565 AUSTELL RD SW SUITE 1063
MARIETTA GA
30008-5769
US

V. Phone/Fax

Practice location:
  • Phone: 770-438-0999
  • Fax:
Mailing address:
  • Phone: 770-438-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATIE MAE HENDERSON-WILLIAMS
Title or Position: PRESIDENT
Credential: R.N., B.S.N.
Phone: 678-945-9290