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Organization
TRACES TRINITY, LLC
Active
Organization
TRACES TRINITY, LLC
Active
Other names
Traces of Tiger Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLIE SUZANNE PENNINGTON (SOLE MB)
(706) 746-6571
Entity
Organization
Contact information
Practice address
92 BETTYS CREEK RD, DILLARD, GA 30537-2257
(706) 746-6571
(706) 746-5643
Mailing address
382 BRIDGE CREEK ROAD, TIGER, GA 30576
(706) 782-6208
(706) 782-5019
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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