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NPI 1730480369 · Adult Day Care Clinic/Center · Monroe, GA
Provider details
- NPI number
- 1730480369
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mattie Johnson, Owner/Adminstrator(706) 202-4271
- License
- 147010211 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
261 Mount Vernon Rd Nw
Monroe, GA 30655-5059
Phone: (770) 207-9618
Fax: (770) 207-9618
Approximate (ZIP-level) locationGet directions
Mailing address
261 Mount Vernon Rd Nw
Monroe, GA 30655-5059
Registry dates
- Enumerated
- 2010-11-12
- Last updated
- 2010-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.