Peniston Personal Care Home,Llc

Specialty details in registry · Fairburn, GA

Call (678) 545-3934 Directions

At a glance

4680 Sundridge Trl, Fairburn, GA 30213-1997

NPPES record updated May 18, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4680 Sundridge Trl
Fairburn, GA 30213-1997

Professional details: NPI, taxonomy & registry record

NPI1265962732

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 310400000X
Enumeration date: Jun 15, 2017
Record updated: May 18, 2023

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4680 Sundridge Trl
Fairburn, GA 30213-1997

Phone: (678) 545-3934
Fax: (770) 892-1051

Mailing address

4680 SUNDRIDGE TRL

FAIRBURN, GA 302131997

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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