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

MS. Mathilda Prevost

Individual provider Assisted Living Facility (Behavioral Disturbances) · NPI 1093641896

MS. Mathilda Prevost is an Assisted Living Facility (Behavioral Disturbances) in Riverdale, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

1741 Highway 138 SW
Riverdale, GA 30296-1921
Phone: (770) 996-5552
Show map & directions

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

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence 031012331 (GA)

Record details

NPI number1093641896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2026
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address1741 Highway 138 Sw, Riverdale, GA 30296-1921