OrganizationActive
A Natural Passion for Caring
NPI 1356874457 · Adult Care Home Facility · Lawrenceville, GA
Provider details
- NPI number
- 1356874457
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Misty Jordan, Owner/Admin(470) 429-8808
- License
- 067-01-498-9 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1419 Dulwich Ct
Lawrenceville, GA 30043-7536
Phone: (404) 997-0340
Approximate (ZIP-level) locationGet directions
Mailing address
1419 Dulwich Ct
Lawrenceville, GA 30043-7536
Registry dates
- Enumerated
- 2017-04-05
- Last updated
- 2017-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.