Individual provider · Type 1 NPI
Gilbert Jermaine Green
Assisted Living Facility · Conyers, GA
NPI number
1184574253
Active
Practice location
732 Lynn Milam Ln
Conyers, GA 30094-4194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1184574253
Gilbert Jermaine Green's National Provider Identifier is 1184574253, issued on Jan 29, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Conyers, GA. The record was last updated on Jan 29, 2026.