Organization · Type 2 NPI
Dedicated Personal Care Home
Custodial Care Facility · Marietta, GA
Practice location
2299 Goodrum Ln
Marietta, GA 30066-5200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | None listed |
Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…
About NPI 1992688097
Dedicated Personal Care Home's National Provider Identifier is 1992688097, issued on Jul 28, 2025. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Marietta, GA. The record was last updated on Jul 28, 2025.