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Organization
VICTORIA PRESONAL CARE HOME LLC
Active
Organization
VICTORIA PRESONAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA GIBSON STEWART (CEO/ADMINSTRATOR)
(478) 785-6600
Entity
Organization
Contact information
Practice address
2666 NANCY DR, MACON, GA 31206-4941
(478) 785-6600
Mailing address
2666 NANCY DR, MACON, GA 31206-4941
(478) 785-6600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH006424
GA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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