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Organization
SWEET PEA PERSONAL CARE HOME
Active
Organization
SWEET PEA PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY YANCEY (CEO)
(954) 793-3938
Entity
Organization
Contact information
Practice address
9387 BURKHALTER RD, STATESBORO, GA 30461-6765
(954) 793-3938
Mailing address
PO BOX 983, STATESBORO, GA 30459-0983
(954) 793-3938
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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