Provider Demographics
NPI:1942629027
Name:ANOTHER JOURNEY PERSONAL CARE HOMES
Entity type:Organization
Organization Name:ANOTHER JOURNEY PERSONAL CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-753-5528
Mailing Address - Street 1:8209 TAYLOR RD
Mailing Address - Street 2:STE 200
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-4307
Mailing Address - Country:US
Mailing Address - Phone:678-753-5528
Mailing Address - Fax:
Practice Address - Street 1:8209 TAYLOR RD
Practice Address - Street 2:STE 200
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-4307
Practice Address - Country:US
Practice Address - Phone:678-753-5528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness