| St. Dunstan Group Home | |
|
1536 Saint Dunstans Rd Lithonia GA 30058-5632 | |
| (770) 456-0091 | |
| (770) 456-0091 |
| Full Name | St. Dunstan Group Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1536 Saint Dunstans Rd, Lithonia, Georgia |
| Authorized Official Name and Position | Fabio Bruno Van Der Merwe (COO) |
| Authorized Official Contact | 4042943836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Dunstan Group Home 445 Winn Way Fl 4 Decatur GA 30030-1707 Ph: (404) 294-3836 | St. Dunstan Group Home 1536 Saint Dunstans Rd Lithonia GA 30058-5632 Ph: (770) 456-0091 |
| NPI Number | 1427193226 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427193226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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