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Organization
OCONEE HOUSE SENIOR LIVING
Active
Organization
OCONEE HOUSE SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADYS PERERA (OWNER)
(706) 474-3722
Entity
Organization
Contact information
Practice address
126 PARKS MILL RD, BUCKHEAD, GA 30625-3200
(706) 485-1179
Mailing address
134 W MAIN ST, RUTLEDGE, GA 30663-2370
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
117030011
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
908375602
—
GA
Enumeration date
11/12/2014
Last updated
11/12/2014
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