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Organization
GREAT DAY PERSONAL CARE LLC
Active
Organization
GREAT DAY PERSONAL CARE LLC
Active
Other names
Great Day Personal Care Home 11
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE DERNELL COOPER (OWNER)
(706) 836-0979
Entity
Organization
Contact information
Practice address
2059 CLARK ST, AUGUSTA, GA 30904-3067
(706) 836-0979
Mailing address
2059 CLARK ST, AUGUSTA, GA 30904-3067
(706) 836-0979
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003256240A
—
GA
05
—
003256240B
—
GA
Enumeration date
01/10/2022
Last updated
01/10/2022
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