MANUEL CARL MCKENZIE

STONE MOUNTAIN, GA
NPI1356984041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
MANUEL CARL MCKENZIE
4893 CANDLEWOOD LN
STONE MOUNTAIN, GA 30088-1605
Phone number: 770-896-1977
Mailing Address
MANUEL CARL MCKENZIE
4893 CANDLEWOOD LN
STONE MOUNTAIN, GA 30088-1605
Phone number: 770-896-1977
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