1174823595 SID'S PLACE INCORPORATED

Assisted Living Facility

Active

Basic Information

Organization Name
SID'S PLACE INCORPORATED
Enumeration Date
November 1, 2010
Last Update
November 1, 2010
Authorized Official
MR. ZANNIE DARRELL BLACK
OWNER
Phone: (678) 557-8969

Practice Location

Address
2742 LUKE DR
ELLENWOOD, GA 302943987
Phone
(678) 557-8969
Fax
(404) 521-4888

Mailing Address

Address
2742 LUKE DR
ELLENWOOD, GA 302943987
Phone
(678) 557-8969
Fax
(404) 521-4888

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Illness Community Based Residential Treatment Facility
 320800000X Community Based Residential Treatment Facility, Mental Illness 031012928 GA No
Assisted Living Facility
 310400000X Assisted Living Facility 031012928 GA Primary

Other Identifiers

Identifier Type State Issuer
992605365A 05 GA N/A

Frequently Asked Questions

What is SID'S PLACE INCORPORATED's NPI number?
SID'S PLACE INCORPORATED's NPI number is 1174823595.
Which doctor has NPI number 1174823595?
The doctor with NPI number 1174823595 is SID'S PLACE INCORPORATED.
What is SID'S PLACE INCORPORATED's practice address?
SID'S PLACE INCORPORATED's practice address is 2742 LUKE DR, ELLENWOOD, GA, 302943987.
Which doctor practices at 2742 LUKE DR, ELLENWOOD, GA, 302943987?
SID'S PLACE INCORPORATED practices at 2742 LUKE DR, ELLENWOOD, GA, 302943987.
What is SID'S PLACE INCORPORATED's phone number?
SID'S PLACE INCORPORATED's phone number is (678) 557-8969.
Who is (678) 557-8969?
(678) 557-8969 is the phone number for SID'S PLACE INCORPORATED.
What is SID'S PLACE INCORPORATED's specialty?
SID'S PLACE INCORPORATED's specialty is Assisted Living Facility.
What type of doctor is SID'S PLACE INCORPORATED?
SID'S PLACE INCORPORATED is a Assisted Living Facility.
Is SID'S PLACE INCORPORATED a Assisted Living Facility?
Yes, SID'S PLACE INCORPORATED is a Assisted Living Facility.
Is SID'S PLACE INCORPORATED still practicing?
Yes, SID'S PLACE INCORPORATED is currently practicing.
Is SID'S PLACE INCORPORATED accepting new patients?
SID'S PLACE INCORPORATED may be accepting new patients. Please call their office at (678) 557-8969 to inquire about availability.
Is NPI 1174823595 still active?
Yes, NPI 1174823595 is currently active.
Where does SID'S PLACE INCORPORATED practice?
SID'S PLACE INCORPORATED practices in ELLENWOOD, GA.