Organization · Type 2 NPI

Bread of Life Assisted Living Corporation

Assisted Living Facility (Mental Illness) · Atlanta, GA

NPI number 1861740904 Active

Practice location

2001 Martin Luther King Jr Dr SW, Suite 450-A
Atlanta, GA 30310-1101

Fax (404) 564-6487

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Nursing Care Agency 251J00000XNone listed
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed
Assisted Living Facility (Behavioral Disturbances) 3104A0630XNone listed

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.

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About NPI 1861740904

Bread of Life Assisted Living Corporation's National Provider Identifier is 1861740904, issued on Aug 21, 2012. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Atlanta, GA. The record was last updated on Aug 21, 2012.