Organization
ALTA CORPORATION DBA GEORGIA LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN RUSHING (PRESIDENT)
(423) 892-3193
Entity
Organization
Contact information
Practice address
182 HEAD AVE, TALLAPOOSA, GA 30176-1259
(770) 574-2629
(770) 574-8098
Mailing address
182 HEAD AVE, TALLAPOOSA, GA 30176-1259
(770) 574-2629
(770) 574-8098
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
04/10/2006
Last updated
08/22/2020
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