NPI age
19 years
Enumerated 2006-12-29
● Active Type 2 · Organization
Southern Crescent Personal Care Home
Southern Crescent Personal Care Home is 1 of 519 assisted living facility organizations in Georgia.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Odom
Ceo
Last NPPES update
2008-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 519 active assisted living facility providers in Georgia.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
630 Meriwether St
Griffin, GA 302244139
Mailing address
125 Highway 138 Sw
Riverdale, GA 302744007
Authorized official
Stephanie Odom
Ceo
📞 7702279222
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 040319876A |
Practice context
Single-site organization. Only one practice location on file.
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