OrganizationActive
E.k.'S Personal Care Home, LLC
NPI 1972265478 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Marietta, GA
Provider details
- NPI number
- 1972265478
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Earlean Blackwell, Director/Ceo(678) 491-0078
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1865 Waldrep Cir Se
Marietta, GA 30060-4927
Phone: (678) 491-0078
Approximate (ZIP-level) locationGet directions
Mailing address
1865 Waldrep Cir Se
Marietta, GA 30060-4927
Other names (DBA / former)
- Former legal business name
- E.k.'S Personal Care Home, LLC
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2021-10-12
- Certified
- 2021-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.