Organization · Type 2 NPI
Provident Group - Creekside Properties LLC
Assisted Living Facility · Smyrna, GA
NPI number
1891287645
Active
Practice location
4838 South Cobb Drive
Smyrna, GA 30080
Fax (678) 236-0374
Mailing address
5565 Bankers Avenue
Baton Rouge, LA 70808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Alzheimer Center (Dementia Center) | 311500000X | None listed |
| Respite Care | 385H00000X | 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.
Other assisted living facility providers in Smyrna
About NPI 1891287645
Provident Group - Creekside Properties LLC's National Provider Identifier is 1891287645, issued on Jun 6, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Smyrna, GA. The record was last updated on Jun 6, 2018.