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Organization
GOOD SHEPHERD ASSISTED LIVING
Active
Organization
GOOD SHEPHERD ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLORIN IONEL HUT (OWNER -SOLE PROPRIETER)
(770) 995-4447
Entity
Organization
Contact information
Practice address
1712 BRASELTON HWY, LAWRENCEVILLE, GA 30043-2813
(770) 995-4447
(770) 995-4446
Mailing address
1712 BRASELTON HWY, LAWRENCEVILLE, GA 30043-2813
(770) 995-4447
(770) 995-4446
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
2009000738
GA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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