IndividualActive
Manuel Mckenzie
NPI 1356984041 · Adult Care Home Facility · Stone Mountain, GA
Provider details
- NPI number
- 1356984041
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Practice location
4893 Candlewood Ln
Stone Mountain, GA 30088-1605
Phone: (770) 896-1977
Mailing address
4893 Candlewood Ln
Stone Mountain, GA 30088-1605
Registry dates
- Enumerated
- 2019-10-24
- Last updated
- 2019-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.