Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mathilda Prevost

Individual provider Assisted Living Facility (Behavioral Disturbances) · NPI 1093641896

MS. Mathilda Prevost is an Assisted Living Facility (Behavioral Disturbances) in Riverdale, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

1741 Highway 138 SW
Riverdale, GA 30296-1921
Phone: (770) 996-5552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence 031012331 (GA)

Record details

NPI number1093641896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2026
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026