Individual provider · Type 1 NPI
Manuel Carl McKenzie Iii
Adult Care Home Facility · Stone Mountain, GA
NPI number
1356984041
Active
Practice location
4893 Candlewood Ln
Stone Mountain, GA 30088-1605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1356984041
Manuel Carl McKenzie Iii's National Provider Identifier is 1356984041, issued on Oct 24, 2019. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Stone Mountain, GA. The record was last updated on Oct 24, 2019.