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Organization
PUGH'S PERSONAL CARE HOME
Active
Organization
PUGH'S PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY F PUGH (ADMINISTRATOR)
(229) 254-0546
Entity
Organization
Contact information
Practice address
5834 ST MATTHEWS ST JOHN CHURCH RD, DONALSONVILLE, GA 39845-3550
(229) 524-1015
(229) 524-1120
Mailing address
5834 ST MATTHEW ST JOHN CHURCH RD, DONALSONVILLE, GA 39845
(229) 524-1015
(229) 524-1120
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PCH008762
GA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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