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

The Mary Washington Assisted Living Home, Inc

Organization Assisted Living Facility (Mental Illness) · NPI 1003117615

The Mary Washington Assisted Living Home, Inc is an Assisted Living Facility (Mental Illness) in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
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

590 Mountain Oaks Pkwy
Stone Mountain, GA 30087-4732
Phone: (770) 469-0155
Fax: (770) 469-0155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence 044018141 (GA)
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X · Licence 044018141 (GA)

Record details

NPI number1003117615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tawana Gray — Ceo · (770) 469-0155
NPI enumeratedNovember 12, 2010
Last updated in NPPESNovember 12, 2010
Mailing address590 Mountain Oaks Pkwy, Stone Mountain, GA 30087-4732