# DEDICATED GEORGIA HOLDING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEDICATED GEORGIA HOLDING LLC
- **Other names:** DEDICATED SENIOR MEDICAL CENTER VICTORY HEIGHTS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679205926
- **Legal business name:** DEDICATED GEORGIA HOLDING LLC
- **Authorized official:** MARY CHEN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 628-6117

## Contact information

- **Practice address:** 2104 E. VICTORY DRIVE, SAVANNAH, GA 31404
- **Practice address phone:** (912) 600-1222
- **Practice address fax:** (912) 600-1262
- **Mailing address:** 1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
- **Mailing address phone:** (305) 628-6117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2022
- **Last updated:** 06/27/2022