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EXQUISITE TRADITIONS
NPI 1558657494
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jonesboro, GA

Active since June 20, 2011
7265 MOUNT ZION BLVD, JONESBORO, GA 30236(404) 525-9500(404) 393-9436 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Exquisite Traditions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXQUISITE TRADITIONS (NPI 1558657494) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jonesboro, Georgia and active in the NPI registry since June 2011. The organization lists Kyle Ballif, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558657494
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEXQUISITE TRADITIONS
Location Address7265 MOUNT ZION BLVDJonesboro, GA 30236-2519
Mailing Address2045 Mount Zion Rd, Suite 397Morrow, GA 30260-3313 · (404) 525-9500 · Fax (404) 393-9436
Phone(404) 525-9500
Fax(404) 393-9436
Organization SubpartNo
Authorized OfficialKyle BallifCeo · (404) 525-9500
Enumeration DateJune 20, 2011
✔ NPI 1558657494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in GA · PCH001261
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X · License PCH001261 (GA)
7265 MOUNT ZION BLVD, Jonesboro, GA 30236
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAQUANDA SPINCE NP
Nurse Practitioner (Family)
7265 MOUNT ZION BLVD, STE 1
JONESBORO, GA 30236
Clayton County (404) 250-8206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exquisite Traditions's NPI number?

The NPI number for Exquisite Traditions is 1558657494. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Exquisite Traditions located?

Exquisite Traditions is located at 7265 Mount Zion Blvd, Jonesboro, GA 30236. The listed phone number is (404) 525-9500.

What is Exquisite Traditions's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Exquisite Traditions was last updated on June 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.