Organization
TRACES TRINITY, LLC
Active
Other names
Traces of Tiger Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLIE SUZANNE PENNINGTON (SOLE MB)
(706) 746-6571
Entity
Organization
Contact information
Practice address
92 BETTYS CREEK RD, DILLARD, GA 30537-2257
(706) 746-6571
(706) 746-5643
Mailing address
382 BRIDGE CREEK ROAD, TIGER, GA 30576
(706) 782-6208
(706) 782-5019
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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