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

Willie B Gardner Assisted Living Inc

Organization Assisted Living Facility · NPI 1710683396

Willie B Gardner Assisted Living Inc is an Assisted Living Facility in Riverdale, Georgia. Registered with an NPI since 2023.

In the registry since
2023
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

1262 King Rd
Riverdale, GA 30296-2952
Phone: (678) 789-5174
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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

Record details

NPI number1710683396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaurina Dudley — Ceo · (678) 663-9674
Other names Willie B Gardner Care Home Inc.
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 4, 2023
Mailing address1262 King Rd, Riverdale, GA 30296-2952

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