Organization · Type 2 NPI

The Mary Washington Assisted Living Home, Inc

Assisted Living Facility (Mental Illness) · Stone Mountain, GA

NPI number 1003117615 Active

Practice location

590 Mountain Oaks Pkwy
Stone Mountain, GA 30087-4732

Fax (770) 469-0155

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625X044018141 (GA)
Assisted Living Facility (Behavioral Disturbances) 3104A0630X044018141 (GA)

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

About NPI 1003117615

The Mary Washington Assisted Living Home, Inc's National Provider Identifier is 1003117615, issued on Nov 12, 2010. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Stone Mountain, GA. The record was last updated on Nov 12, 2010.