Individual provider · Type 1 NPI
Kenya Tucker
Assisted Living Facility · Stone Mountain, GA
NPI number
1649162264
Active
Practice location
1422 Crooked Tree Cir
Stone Mountain, GA 30088-3760
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 1649162264
Kenya Tucker's National Provider Identifier is 1649162264, issued on Jul 17, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Stone Mountain, GA. The record was last updated on Jul 17, 2025.