Organization
ASSISTED LIVING CORPORATION OF GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE LASITER (PRESIDENT)
(404) 790-5956
Entity
Organization
Contact information
Practice address
149 SHADY LN, CANTON, GA 30114-7960
(404) 790-5956
Mailing address
794 MIDDLEBROOK DR, JONESBORO, GA 30236-2020
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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