NPI age
14 years
Enumerated 2011-06-20
● Active Type 2 · Organization
Exquisite Traditions
Exquisite Traditions is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ballif
Ceo
Last NPPES update
2011-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.
NPI age
14 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
7265 Mount Zion Blvd
Jonesboro, GA 302362519
Mailing address
2045 Mount Zion Rd, Suite 397
Morrow, GA 302603313
Authorized official
Kyle Ballif
Ceo
📞 4045259500
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Laquanda Spince, NP Nurse Practitioner NPI 1396101796
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
-
Residential Treatment Facility, Physical DisabilitiesA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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