Organization
MCTWYNN, INC
Active
Other names
Lakeview Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY JENKINS WYNN (V.P./SEC)
(912) 367-9109
Entity
Organization
Contact information
Practice address
111 STEPHENS AVE, BAXLEY, GA 31513
(912) 367-9109
(912) 367-5927
Mailing address
426 E. PARKER ST, BAXLEY, GA 31513
(912) 367-9109
(912) 367-5927
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PERMIT NO PCH009056
GA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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