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Organization
VINE SENIOR CARE LLC
Active
Organization
VINE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAE SOOK JANG (OWNER/DIRECTOR)
(678) 576-4282
Entity
Organization
Contact information
Practice address
5111 SPRING ST, FLOWERY BRANCH, GA 30542-3343
(770) 967-7719
(770) 967-7719
Mailing address
5111 SPRING ST, FLOWERY BRANCH, GA 30542-3343
(770) 967-7719
(770) 967-7719
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PCH009193
GA
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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