Provider Demographics
NPI:1851622054
Name:ARTIST VIEW PERSONAL CARE HOME
Entity Type:Organization
Organization Name:ARTIST VIEW PERSONAL CARE HOME
Other - Org Name:MAJESTIC CARE INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:BETHEL
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:JURIS DOCTOR
Authorized Official - Phone:770-280-5787
Mailing Address - Street 1:5184 MILLER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3748
Mailing Address - Country:US
Mailing Address - Phone:770-280-5787
Mailing Address - Fax:770-808-0644
Practice Address - Street 1:3891 ARTIST VW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-5172
Practice Address - Country:US
Practice Address - Phone:770-280-5787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAJESTIC CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-01-873-9251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health