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Organization
GINNIE MAE RESIDENCE CARE LLC
Active
Organization
GINNIE MAE RESIDENCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDRA ALLEN (OWNER/ADMINISTRATOR)
(678) 984-8683
Entity
Organization
Contact information
Practice address
514 DUKE ST, THOMASVILLE, NC 27360-5332
(336) 313-5183
Mailing address
514 DUKE ST, THOMASVILLE, NC 27360-5332
(678) 984-8683
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
05/08/2023
Last updated
05/21/2023
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