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Organization
JACKSON FALLS INC
Active
Organization
JACKSON FALLS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELIA JACKSON (CEO)
(404) 803-3805
Entity
Organization
Contact information
Practice address
5611 WILDERNESS TRCE, STONE MTN, GA 30087-5266
(404) 803-3805
Mailing address
5611 WILDERNESS TRCE, STONE MTN, GA 30087-5266
(404) 803-3805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
044018521
GA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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