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Organization
INTIMATE ESTATES, INC
Active
Organization
INTIMATE ESTATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL BELGRAVE (CEO)
(678) 279-5400
Entity
Organization
Contact information
Practice address
449 WOMACK RD, COVINGTON, GA 30016-1882
(678) 279-5400
(678) 279-5470
Mailing address
449 WOMACK RD, COVINGTON, GA 30016-1882
(678) 279-5400
(678) 279-5470
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
107030049
GA
3104A0625X
Assisted Living Facility (Mental Illness)
107030049
GA
Other
Enumeration date
11/10/2010
Last updated
11/11/2010
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