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Organization
BELLA ROSE HEALTHCARE L.L.C.
Active
Organization
BELLA ROSE HEALTHCARE L.L.C.
Active
Other names
Serenity Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
ANTIONETTE MUNDY LPN, LTC ADMIN (OWNER/ADMINISTRATOR)
(762) 822-9567
Entity
Organization
Contact information
Practice address
7661 KAYNE BLVD STE A, COLUMBUS, GA 31909-2546
(706) 221-3520
(706) 221-3522
Mailing address
7661 KAYNE BLVD STE A, COLUMBUS, GA 31909-2546
(706) 221-3520
(706) 221-3522
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCH012233
DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
12/27/2023
Last updated
12/27/2023
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