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Organization
PINES PERSONAL CARE HOME III ALS
Active
Organization
PINES PERSONAL CARE HOME III ALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT C. MEADOWS (OWNER)
(229) 878-1415
Entity
Organization
Contact information
Practice address
2121 MARTIN LUTHER KING JR DR BLDG C, ALBANY, GA 31701-4112
(229) 878-1415
(229) 878-1417
Mailing address
2121 MARTIN LUTHER KING JR DR, ALBANY, GA 31701-4101
(229) 878-1415
(229) 878-1417
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
K536292
GA
Other
Enumeration date
05/21/2008
Last updated
05/22/2008
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