# PARADISE GROVE ADULT CARE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235562786
- **Authorized official:** MICHELLE GAY (CEO)
- **Authorized official phone:** (770) 882-8401

## Contact information

- **Practice address:** 10854 PALADIN DR, HAMPTON, GA 30228-3340
- **Practice address phone:** (770) 882-8401
- **Mailing address:** 10854 PALADIN DR, HAMPTON, GA 30228-3340
- **Mailing address phone:** (770) 882-8401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 13-00030126 | GA | Yes |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 08/19/2013