Provider Demographics
NPI:1801421821
Name:ONE WAY ADULT SOCIAL CENTER, INC.
Entity type:Organization
Organization Name:ONE WAY ADULT SOCIAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-675-6753
Mailing Address - Street 1:101 BAINBRIDGE WAY STE 130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-4766
Mailing Address - Country:US
Mailing Address - Phone:770-675-6753
Mailing Address - Fax:770-675-6760
Practice Address - Street 1:101 BAINBRIDGE WAY STE 130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-4766
Practice Address - Country:US
Practice Address - Phone:770-675-6753
Practice Address - Fax:770-675-6760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251J00000XAgenciesNursing Care