# ISABELLA MANOR INC

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

## Provider details

- **NPI number:** 1356718803
- **Authorized official:** MRS. LAVONNE WILLIAMS THOMAS (OWNER/ADMIN)
- **Authorized official phone:** (229) 496-1213

## Contact information

- **Practice address:** 409 N MONROE ST, ALBANY, GA 31701-2252
- **Practice address phone:** (229) 347-9008
- **Mailing address:** PO BOX 3921, ALBANY, GA 31706-3921
- **Mailing address phone:** (229) 347-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | PHCH008441 | GA | Yes |

## Other

- **Enumeration date:** 08/31/2015
- **Last updated:** 08/31/2015