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Organization
BELL'S PEACHTREE PERSONAL CARE HOME, LLC
Active
Organization
BELL'S PEACHTREE PERSONAL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABITHA ANTIONETTE JOHNSON-GREEN (OWNER/ADMINISTRATOR)
(478) 552-3560
Entity
Organization
Contact information
Practice address
604 M. L. KING, JR. AVE., SANDERSVILLE, GA 31082-2818
(478) 552-3560
Mailing address
604 M. L. KING, JR. AVE., SANDERSVILLE, GA 31082-2818
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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