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Organization
TDG GRANT ENTERPRISES LLC
Active
Organization
TDG GRANT ENTERPRISES LLC
Active
Other names
GOLDEN DAYS QUALITY CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELLA CARVER GRANT LPN (OWNER/ADMINISTRATOR)
(706) 374-1360
Entity
Organization
Contact information
Practice address
940 KNOLLWOOD RD, MINERAL BLUFF, GA 30559-3012
(706) 374-1360
Mailing address
PO BOX 541, MINERAL BLUFF, GA 30559-0541
(706) 374-1360
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH006042
GA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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