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Organization
IRIS COVE PERSONAL CARE HOME LLC
Active
Organization
IRIS COVE PERSONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE EUBANKS BENTLEY (OWNER)
(706) 306-0273
Entity
Organization
Contact information
Practice address
2382 WHEELESS RD, AUGUSTA, GA 30906-5404
(706) 306-0273
Mailing address
2382 WHEELESS RD, AUGUSTA, GA 30906-5404
(706) 306-0273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
05/18/2021
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