Provider Demographics
NPI:1275869489
Name:AKINSON RESIDENTIAL AND COMMUNITY HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:AKINSON RESIDENTIAL AND COMMUNITY HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE RESIDENTIAL PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEDEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-323-2561
Mailing Address - Street 1:5153 GROVE FIELD PL
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2386
Mailing Address - Country:US
Mailing Address - Phone:770-323-2561
Mailing Address - Fax:770-323-2561
Practice Address - Street 1:5153 GROVE FIELD PL
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-2386
Practice Address - Country:US
Practice Address - Phone:770-323-2561
Practice Address - Fax:770-323-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-01-354-1311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home