SearchGeorgiaAdult Care Home Facility

Manuel Mckenzie

NPI 1356984041 · on the registry since 2019 · sole proprietor

Practice

Address
4893 Candlewood Ln
Stone Mountain, GA 30088
Phone
(770) 896-1977

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Sex
Male
Record last updated
2019-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia