Provider Demographics
NPI:1851114243
Name:SHAUNIQUE ADULT DAY CENTER -INC
Entity type:Organization
Organization Name:SHAUNIQUE ADULT DAY CENTER -INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEIRONE
Authorized Official - Middle Name:MARLYNE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CMA
Authorized Official - Phone:770-733-5170
Mailing Address - Street 1:767 STONEBRIDGE CRES
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-8264
Mailing Address - Country:US
Mailing Address - Phone:770-733-5170
Mailing Address - Fax:678-404-8214
Practice Address - Street 1:8024 ROCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-5882
Practice Address - Country:US
Practice Address - Phone:770-733-5170
Practice Address - Fax:678-404-8214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care