Provider Demographics
NPI:1730580374
Name:R&R GROUP HOME
Entity type:Organization
Organization Name:R&R GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE L
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-396-8352
Mailing Address - Street 1:107 PARK PLACE WAY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-1960
Mailing Address - Country:US
Mailing Address - Phone:770-834-0078
Mailing Address - Fax:770-834-5745
Practice Address - Street 1:107 PARK PLACE WAY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-1960
Practice Address - Country:US
Practice Address - Phone:770-834-0078
Practice Address - Fax:770-834-5745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCH008384311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home