# EXTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tiara's Adult Personal Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376978155
- **Authorized official:** MS. TINA TOPPING (CEO)
- **Authorized official phone:** (770) 369-7355

## Contact information

- **Practice address:** 220 PRICE RD, FAYETTEVILLE, GA 30215-2019
- **Practice address phone:** (770) 719-3577
- **Practice address fax:** (678) 389-4783
- **Mailing address:** 220 PRICE RD, FAYETTEVILLE, GA 30215-2019
- **Mailing address phone:** (770) 719-3577
- **Mailing address fax:** (678) 389-4783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 05601017-1 | GA | Yes |

## Other

- **Enumeration date:** 09/11/2013
- **Last updated:** 09/11/2013
