Provider Demographics
NPI:1699653543
Name:RUTH'S PLACE COMMUNITY HOME
Entity type:Organization
Organization Name:RUTH'S PLACE COMMUNITY HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-376-1071
Mailing Address - Street 1:340 LOCKHEED AVE SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-2804
Mailing Address - Country:US
Mailing Address - Phone:800-376-1071
Mailing Address - Fax:844-710-4357
Practice Address - Street 1:340 LOCKHEED AVE SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2804
Practice Address - Country:US
Practice Address - Phone:800-376-1071
Practice Address - Fax:844-710-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness