Healthcare Provider Details

I. General information

NPI: 1073191805
Provider Name (Legal Business Name): ALZHEIMER'S SERVICES CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 MOUNT ZION CIR
MORROW GA
30260-3309
US

IV. Provider business mailing address

7251 MOUNT ZION CIR
MORROW GA
30260-3309
US

V. Phone/Fax

Practice location:
  • Phone: 770-603-4090
  • Fax: 770-602-4092
Mailing address:
  • Phone: 770-603-4090
  • Fax: 770-602-4092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SYLVIA DENNIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 678-713-6720