Provider Demographics
NPI:1003370974
Name:ROSALEANA'S COMMUNITY DEVELOPMENT CENTER INC
Entity Type:Organization
Organization Name:ROSALEANA'S COMMUNITY DEVELOPMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YALANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-863-7444
Mailing Address - Street 1:350 SCHOEN ST SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-5308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 SCHOEN ST SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-5308
Practice Address - Country:US
Practice Address - Phone:404-863-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251B00000XAgenciesCase Management