Organization
ROSE'S PREMIER PERSONAL CARE HOME, CORPORATION
Active
Other names
Rose's Premier Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORNA DRICKETTS (OWNER)
(718) 908-8502
Entity
Organization
Contact information
Practice address
3905 PRICE RD, GAINESVILLE, GA 30506-5362
(678) 696-5428
Mailing address
3905 PRICE RD, GAINESVILLE, GA 30506-5362
(678) 696-5428
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCH008016
STATE PROVIDER ID
GA
Enumeration date
09/09/2022
Last updated
09/09/2022
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