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Organization
DOGWOOD BLUFF PERSONAL CARE HOME
Active
Organization
DOGWOOD BLUFF PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN JOYCE BURGESS (ADMINISTRATOR)
(706) 974-7704
Entity
Organization
Contact information
Practice address
266 PONY LAKE LN, DAHLONEGA, GA 30533-6309
(706) 974-7704
(770) 536-0776
Mailing address
266 PONY LAKE LN, DAHLONEGA, GA 30533-6309
(706) 974-7704
(770) 536-0776
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604546A
—
GA
Enumeration date
08/10/2011
Last updated
08/10/2011
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