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Organization
TARR PERSONAL CARE HOME LLC.
Active
Organization
TARR PERSONAL CARE HOME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARBEA TARR NUAHN (OWNER)
(404) 454-7414
Entity
Organization
Contact information
Practice address
1180 MUNDYS MILL RD, JONESBORO, GA 30238-6038
(404) 454-7414
Mailing address
628 RIVER MIST DR, JONESBORO, GA 30238-5789
(404) 454-7414
(470) 317-5901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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