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Organization
PREEMINENT LIVING PERSONAL CARE HOME
Active
Organization
PREEMINENT LIVING PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICK COOPER (ADMINISTRATOR)
(678) 559-4187
Entity
Organization
Contact information
Practice address
4047 ROUND STONE TRL, SNELLVILLE, GA 30039-3351
(678) 559-4187
Mailing address
4047 ROUND STONE TRL, SNELLVILLE, GA 30039-3351
(678) 559-4187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/18/2015
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