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Organization
WILLOWOOD OF EDISON, INC
Active
Organization
WILLOWOOD OF EDISON, INC
Active
Other names
Willowood Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES N PETTIS (PRESIDENT)
(478) 714-0246
Entity
Organization
Contact information
Practice address
19818 HARTFORD ST, EDISON, GA 39846-5808
(229) 835-2186
Mailing address
PO BOX 947, PERRY, GA 31069-0947
(478) 714-0246
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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