Assisted Living Corporation of Ga
Organization Active NPI Nursing Care Agency · Canton, GA
NPI 1013241322 · NPPES record last updated Sep 21, 2009
Key facts
- NPI
- 1013241322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- Legal business name
- ASSISTED LIVING CORPORATION OF GA
- Practice address
- 149 Shady LN
Canton, GA 30114-7960 - Phone
- (404) 790-5956
- NPI assigned
- Sep 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Mike Lasiter
- Title
- President
- Phone
- (404) 790-5956
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Yes |
Addresses
Primary practice location
149 Shady LN
Canton, GA 30114-7960
Mailing address
794 Middlebrook Dr
Jonesboro, GA 30236-2020
Other providers in Canton, GA
- Basmah Aref
- Anna Sabina Arias
- Stephen Armstrong II
- Paul Douglas Arp
- Anas Asim
- Kathleen Lee Atkins
- Suzy Atkinson
- Atlanta Behavioral and Mental Health Counseling
- Atlanta EMS LLLP
- Atlanta Hand Therapy LLC
All providers in Canton, GA · Nursing Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.