| Organization Name: | YOUR PARENT'S PLACE |
| NPI Number: | 1912339086 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARVEY DAY (OWNER) |
| Mailing Address: | 7180 Southlake Pkwy Morrow |
| State: | GA US |
| Postal Code: | 302604178 |
| Phone Number: | 7709686994 |
| Fax Number: | 6785190645 |
| NPI Enumeration Date: | 07/31/2013 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 13-00034683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |