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Organization
HIGH MAINTENANCE
Active
Organization
HIGH MAINTENANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DUNN (HOMECARE PROVIDER)
(706) 589-1933
Entity
Organization
Contact information
Practice address
4722 BROOKWOOD DRIVE, GROVETOWN, GA 30813-5325
(706) 814-6235
Mailing address
4722 BROOKWOOD DR, GROVETOWN, GA 30813-5325
(706) 814-6235
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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