OrganizationActive
Assisted Living Corporation of Ga
NPI 1013241322 · Nursing Care Agency · Canton, GA
Provider details
- NPI number
- 1013241322
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mike Lasiter, President(404) 790-5956
Specialties & taxonomies
Agencies
Practice location
149 Shady Ln
Canton, GA 30114-7960
Phone: (404) 790-5956
Approximate (ZIP-level) locationGet directions
Mailing address
794 Middlebrook Dr
Jonesboro, GA 30236-2020
Registry dates
- Enumerated
- 2009-09-21
- Last updated
- 2009-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.