Sid's Place Incorporated
Sid's Place Incorporated is an Assisted Living Facility in Ellenwood, Georgia. Licensed in Georgia. Registered with an NPI since 2010.
- Licensed in
- GA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
2742 Luke DrEllenwood, GA 30294-3987
Phone: (678) 557-8969
Fax: (404) 521-4888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 031012928 (GA) |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence 031012928 (GA) |
Record details
| NPI number | 1174823595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Zannie Black — Owner · (678) 557-8969 |
| NPI enumerated | November 1, 2010 |
| Last updated in NPPES | November 1, 2010 |
| Mailing address | 2742 Luke Dr, Ellenwood, GA 30294-3987 |
Other providers in Ellenwood
-
Altrus LLC
2038 River Rd, Ellenwood, GA 30294-1012 · (912) 354-3680
-
Kelly's Life Center
3895 Tolliver Hills Dr, Ellenwood, GA 30294-1209 · (404) 228-7985
-
Perdum Assisted Living
5100 King Arthur Ln, Ellenwood, GA 30294-6544 · (404) 219-3592