Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Masalon Personal Care Home Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1306468228

Masalon Personal Care Home Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stone Mountain, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3952 Rockbridge Rd
Stone Mountain, GA 30083-4170
Phone: (917) 826-4317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1306468228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Makesa Fofana — Owner · (917) 826-4317
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address3952 Rockbridge Rd, Stone Mountain, GA 30083-4170

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